Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $259.87 / $344.34	Professional		$220.77	$259.87	$344.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.37 / $252.31 / $416.31	Professional		$234.37	$252.31	$416.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $566.13 / $667.46 / $1,121.33	Facility		$566.13	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.26 / $308.00 / $612.37	Professional		$215.26	$308.00	$612.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.16 / $279.37 / $470.88	Professional		$219.16	$279.37	$470.88
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 $203.78 / $267.45 / $485.37	Professional		$203.78	$267.45	$485.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.67 / $267.73 / $332.88	Professional		$186.67	$267.73	$332.88