Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.90 / $274.81 / $365.18	Professional		$226.90	$274.81	$365.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.60 / $267.70 / $366.75	Professional		$265.60	$267.70	$366.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $276.41 / $599.00 / $2,530.00	Facility		$276.41	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.86 / $305.44 / $580.75	Professional		$228.86	$305.44	$580.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $233.33 / $291.02 / $414.82	Professional		$233.33	$291.02	$414.82
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $208.49 / $285.36 / $539.29	Professional		$208.49	$285.36	$539.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $198.19 / $291.02 / $354.14	Professional		$198.19	$291.02	$354.14