Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.47 / $302.88 / $609.33	Professional		$172.47	$302.88	$609.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.80 / $219.62 / $243.99	Professional		$206.80	$219.62	$243.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $3,314.62	Facility		$507.00	$518.54	$3,314.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.03 / $333.61 / $698.66	Professional		$185.03	$333.61	$698.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $340.91 / $439.77 / $686.78	Professional		$340.91	$439.77	$686.78
United Facility/Professional Facility Modifier Low / Median / High Price $520.00 / $520.00 / $733.00	Facility		$520.00	$520.00	$733.00
United Facility/Professional Professional Modifier Low / Median / High Price $280.92 / $398.69 / $758.48	Professional		$280.92	$398.69	$758.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $337.10 / $392.05 / $485.61	Professional		$337.10	$392.05	$485.61