Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $249.38 / $287.74 / $389.99	Professional		$249.38	$287.74	$389.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.66 / $288.51 / $519.32	Professional		$259.66	$288.51	$519.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $2,851.64 / $3,628.12	Facility		$582.00	$2,851.64	$3,628.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $325.75 / $610.79	Professional		$244.45	$325.75	$610.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $248.69 / $316.97 / $535.60	Professional		$248.69	$316.97	$535.60
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $471.00 / $1,330.00	Facility		$418.00	$471.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $305.45 / $525.79	Professional		$220.10	$305.45	$525.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $211.44 / $303.76 / $378.02	Professional		$211.44	$303.76	$378.02