Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $178.83 / $238.28 / $332.67	Professional		$178.83	$238.28	$332.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.53 / $231.53 / $299.63	Professional		$231.53	$231.53	$299.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.04 / $337.79 / $709.56	Professional		$204.04	$337.79	$709.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.98 / $482.43 / $643.10	Professional		$373.98	$482.43	$643.10
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 $237.76 / $344.89 / $669.84	Professional		$237.76	$344.89	$669.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $283.57 / $430.08 / $528.17	Professional		$283.57	$430.08	$528.17