Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $416.87 / $851.14	Professional		$251.19	$416.87	$851.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $281.84 / $398.11	Professional		$251.19	$281.84	$398.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $316.23 / $512.86	Facility		$275.42	$316.23	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $398.11 / $707.95	Professional		$257.04	$398.11	$707.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $489.78 / $676.08	Professional		$316.23	$489.78	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,511.89	Facility		$602.56	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $380.19 / $676.08	Professional		$239.88	$380.19	$676.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $660.69	Professional		$302.00	$524.81	$660.69