Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $314.33 / $806.64	Professional		$271.50	$314.33	$806.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $306.94 / $313.11 / $485.32	Professional		$306.94	$313.11	$485.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $909.33 / $1,530.89	Facility		$508.00	$909.33	$1,530.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.20 / $367.33 / $658.86	Professional		$271.20	$367.33	$658.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.01 / $345.62 / $520.67	Professional		$273.01	$345.62	$520.67
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.50 / $330.59 / $569.90	Professional		$244.50	$330.59	$569.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.01 / $330.49 / $411.35	Professional		$231.01	$330.49	$411.35