Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.49 / $287.18 / $435.30	Professional		$222.49	$287.18	$435.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $245.41 / $370.57	Professional		$204.61	$245.41	$370.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $508.00 / $1,474.16 / $2,213.00	Facility		$508.00	$1,474.16	$2,213.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.34 / $353.40 / $628.34	Professional		$234.34	$353.40	$628.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $312.81 / $422.29 / $625.62	Professional		$312.81	$422.29	$625.62
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 $250.13 / $348.80 / $614.55	Professional		$250.13	$348.80	$614.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $235.33 / $417.59 / $515.70	Professional		$235.33	$417.59	$515.70