Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $580.29 / $580.29 / $580.29	Facility		$580.29	$580.29	$580.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.51 / $302.85 / $763.74	Professional		$221.51	$302.85	$763.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.97 / $244.72 / $369.53	Professional		$243.97	$244.72	$369.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $693.21 / $1,164.58	Facility		$508.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $226.52 / $334.00 / $602.51	Professional		$226.52	$334.00	$602.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $372.89 / $542.38	Professional		$285.18	$372.89	$542.38
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 $233.35 / $329.30 / $536.64	Professional		$233.35	$329.30	$536.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.30 / $365.13 / $450.87	Professional		$240.30	$365.13	$450.87