Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.60 / $343.32 / $694.82	Professional		$245.60	$343.32	$694.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $231.89 / $276.33 / $455.94	Professional		$231.89	$276.33	$455.94
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 $253.59 / $382.18 / $696.14	Professional		$253.59	$382.18	$696.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $326.99 / $441.44 / $653.98	Professional		$326.99	$441.44	$653.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,236.00 / $1,679.00 / $3,590.00	Facility		$1,236.00	$1,679.00	$3,590.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.64 / $397.40 / $672.88	Professional		$286.64	$397.40	$672.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $287.69 / $435.79 / $537.38	Professional		$287.69	$435.79	$537.38