Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $331.13 / $602.56	Professional		$208.93	$331.13	$602.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $234.42 / $363.08	Professional		$208.93	$234.42	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,318.26 / $1,862.09	Facility		$630.96	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $323.59 / $602.56	Professional		$208.93	$323.59	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $426.58 / $588.84	Professional		$275.42	$426.58	$588.84
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 $194.98 / $316.23 / $575.44	Professional		$194.98	$316.23	$575.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $446.68 / $575.44	Professional		$257.04	$446.68	$575.44