Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $402.76 / $464.30 / $652.29	Facility		$402.76	$464.30	$652.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $277.32 / $388.06 / $981.92	Professional		$277.32	$388.06	$981.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $309.47 / $482.77	Professional		$309.38	$309.47	$482.77
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 $285.70 / $418.08 / $758.04	Professional		$285.70	$418.08	$758.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.98 / $480.41 / $704.38	Professional		$357.98	$480.41	$704.38
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 $317.58 / $434.73 / $776.92	Professional		$317.58	$434.73	$776.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.04 / $466.98 / $576.04	Professional		$312.04	$466.98	$576.04