Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.14 / $279.50 / $707.99	Professional		$226.14	$279.50	$707.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $267.30 / $401.72	Professional		$266.04	$267.30	$401.72
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 $227.69 / $311.16 / $531.41	Professional		$227.69	$311.16	$531.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $246.36 / $312.13 / $441.15	Professional		$246.36	$312.13	$441.15
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 $204.65 / $275.50 / $483.47	Professional		$204.65	$275.50	$483.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $193.35 / $299.13 / $369.54	Professional		$193.35	$299.13	$369.54