Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.65 / $262.17 / $347.36	Professional		$222.65	$262.17	$347.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $250.99 / $254.57 / $412.40	Professional		$250.99	$254.57	$412.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.79 / $518.28 / $867.13	Facility		$437.79	$518.28	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.17 / $308.80 / $617.96	Professional		$217.17	$308.80	$617.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $221.09 / $281.80 / $475.03	Professional		$221.09	$281.80	$475.03
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 $205.59 / $275.64 / $498.56	Professional		$205.59	$275.64	$498.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.30 / $270.05 / $335.84	Professional		$188.30	$270.05	$335.84