Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $325.61 / $470.39	Professional		$252.89	$325.61	$470.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.08 / $279.26 / $424.48	Professional		$277.08	$279.26	$424.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $2,754.30 / $3,914.00	Facility		$508.00	$2,754.30	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $255.65 / $361.61 / $674.25	Professional		$255.65	$361.61	$674.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.07 / $404.40 / $581.78	Professional		$309.07	$404.40	$581.78
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 $270.39 / $362.80 / $615.41	Professional		$270.39	$362.80	$615.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.45 / $392.64 / $485.13	Professional		$257.45	$392.64	$485.13