Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $363.08 / $645.65	Professional		$223.87	$363.08	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $251.19 / $389.05	Professional		$223.87	$251.19	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $1,862.09	Facility		$512.86	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $354.81 / $630.96	Professional		$229.09	$354.81	$630.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $446.68 / $616.60	Professional		$288.40	$446.68	$616.60
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 $208.93 / $331.13 / $602.56	Professional		$208.93	$331.13	$602.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $478.63 / $602.56	Professional		$269.15	$478.63	$602.56