Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.41 / $310.51 / $473.93	Professional		$209.41	$310.51	$473.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $185.38 / $235.72 / $384.22	Professional		$185.38	$235.72	$384.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $1,441.78 / $2,470.35	Facility		$629.00	$1,441.78	$2,470.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.47 / $344.88 / $676.86	Professional		$211.47	$344.88	$676.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $330.47 / $453.65 / $672.08	Professional		$330.47	$453.65	$672.08
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $270.86 / $372.17 / $641.05	Professional		$270.86	$372.17	$641.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $446.80 / $550.79	Professional		$255.24	$446.80	$550.79