Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.75 / $326.42 / $772.05	Professional		$212.75	$326.42	$772.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.48 / $236.27 / $354.41	Professional		$190.48	$236.27	$354.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,441.78 / $1,870.84	Facility		$376.00	$1,441.78	$1,870.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.41 / $349.25 / $619.30	Professional		$220.41	$349.25	$619.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.82 / $403.41 / $606.76	Professional		$298.82	$403.41	$606.76
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $264.79 / $378.80 / $670.86	Professional		$264.79	$378.80	$670.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.99 / $397.68 / $490.77	Professional		$269.99	$397.68	$490.77