Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $524.81	Professional		$263.03	$316.23	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $288.40 / $446.68	Professional		$263.03	$288.40	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $602.56 / $851.14	Facility		$562.34	$602.56	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $331.13 / $616.60	Professional		$234.42	$331.13	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $275.42 / $407.38	Professional		$208.93	$275.42	$407.38
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 $234.42 / $323.59 / $537.03	Professional		$234.42	$323.59	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $316.23 / $363.08	Professional		$223.87	$316.23	$363.08