Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $378.78 / $537.04	Professional		$273.20	$378.78	$537.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $211.07 / $271.04 / $430.95	Professional		$211.07	$271.04	$430.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $273.44 / $318.58 / $516.89	Facility		$273.44	$318.58	$516.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $265.74 / $408.31 / $746.04	Professional		$265.74	$408.31	$746.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $327.20 / $490.05 / $750.65	Professional		$327.20	$490.05	$750.65
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 $297.24 / $434.12 / $808.98	Professional		$297.24	$434.12	$808.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $289.14 / $481.19 / $594.87	Professional		$289.14	$481.19	$594.87