Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $281.84 / $501.19	Professional		$239.88	$281.84	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $436.52	Professional		$245.47	$275.42	$436.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $2,570.40 / $3,630.78	Facility		$575.44	$2,570.40	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $316.23 / $512.86	Professional		$234.42	$316.23	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $263.03 / $380.19	Professional		$199.53	$263.03	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $512.86	Professional		$218.78	$302.00	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $302.00 / $346.74	Professional		$213.80	$302.00	$346.74