Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.48 / $273.70 / $343.91	Professional		$228.48	$273.70	$343.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $1,712.00 / $1,712.00 / $1,712.00	Professional		$1,712.00	$1,712.00	$1,712.00
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 $224.28 / $301.64 / $527.71	Professional		$224.28	$301.64	$527.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $241.08 / $296.14 / $499.55	Professional		$241.08	$296.14	$499.55
United Facility/Professional Facility Modifier Low / Median / High Price $607.00 / $992.00 / $2,489.00	Facility		$607.00	$992.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.47 / $277.60 / $495.00	Professional		$208.47	$277.60	$495.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.00 / $49.00 / $49.00	Professional		$49.00	$49.00	$49.00