Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.80 / $347.47 / $581.10	Professional		$224.80	$347.47	$581.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.11 / $251.46 / $389.76	Professional		$227.11	$251.46	$389.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $1,441.78 / $2,470.35	Facility		$509.00	$1,441.78	$2,470.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.77 / $378.51 / $720.88	Professional		$230.77	$378.51	$720.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $347.26 / $476.04 / $705.25	Professional		$347.26	$476.04	$705.25
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 $288.95 / $406.76 / $711.91	Professional		$288.95	$406.76	$711.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.07 / $469.40 / $578.76	Professional		$269.07	$469.40	$578.76