Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.35 / $293.50 / $388.46	Professional		$225.35	$293.50	$388.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $230.99 / $265.02 / $432.83	Professional		$230.99	$265.02	$432.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,474.16 / $2,476.59	Facility		$582.00	$1,474.16	$2,476.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.10 / $311.83 / $601.79	Professional		$215.10	$311.83	$601.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.51 / $339.71 / $494.13	Professional		$262.51	$339.71	$494.13
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 $197.06 / $296.58 / $542.86	Professional		$197.06	$296.58	$542.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $182.22 / $334.51 / $409.11	Professional		$182.22	$334.51	$409.11