Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $512.86 / $933.25	Professional		$338.84	$512.86	$933.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $371.54 / $575.44	Professional		$331.13	$371.54	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $1,862.09	Facility		$575.44	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $489.78 / $891.25	Professional		$331.13	$489.78	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $912.01	Professional		$426.58	$645.65	$912.01
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 $309.03 / $489.78 / $891.25	Professional		$309.03	$489.78	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $691.83 / $870.96	Professional		$363.08	$691.83	$870.96