Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.44 / $321.04 / $467.00	Professional		$218.44	$321.04	$467.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.03 / $235.38 / $328.35	Professional		$222.03	$235.38	$328.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.98 / $693.21 / $1,164.58	Facility		$378.98	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.17 / $364.30 / $660.31	Professional		$232.17	$364.30	$660.31
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.55 / $399.00 / $636.29	Professional		$295.55	$399.00	$636.29
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.57 / $398.78 / $726.78	Professional		$293.57	$398.78	$726.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.11 / $394.59 / $489.27	Professional		$311.11	$394.59	$489.27