Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $354.00 / $554.27	Professional		$262.22	$354.00	$554.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $242.79 / $290.56 / $482.33	Professional		$242.79	$290.56	$482.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,441.78 / $2,213.00	Facility		$508.00	$1,441.78	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.74 / $400.82 / $711.21	Professional		$267.74	$400.82	$711.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $331.26 / $436.38 / $660.26	Professional		$331.26	$436.38	$660.26
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 $298.31 / $417.63 / $786.84	Professional		$298.31	$417.63	$786.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $298.64 / $431.73 / $533.91	Professional		$298.64	$431.73	$533.91