Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.44 / $427.82 / $998.14	Professional		$256.44	$427.82	$998.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $264.82 / $284.47 / $389.72	Professional		$264.82	$284.47	$389.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $272.83 / $309.20 / $582.00	Facility		$272.83	$309.20	$582.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.64 / $419.26 / $785.68	Professional		$264.64	$419.26	$785.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.38 / $521.09 / $748.03	Professional		$380.38	$521.09	$748.03
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $992.00 / $2,489.00	Facility		$717.00	$992.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $322.62 / $439.52 / $773.97	Professional		$322.62	$439.52	$773.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.05 / $514.63 / $634.71	Professional		$302.05	$514.63	$634.71