Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.31 / $311.89 / $412.49	Professional		$265.31	$311.89	$412.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $268.10 / $303.94 / $483.26	Professional		$268.10	$303.94	$483.26
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 $249.68 / $358.70 / $738.43	Professional		$249.68	$358.70	$738.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.22 / $334.31 / $564.97	Professional		$262.22	$334.31	$564.97
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 $244.66 / $328.02 / $552.77	Professional		$244.66	$328.02	$552.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.63 / $320.38 / $398.58	Professional		$223.63	$320.38	$398.58