Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $207.74 / $376.17 / $651.32	Professional		$207.74	$376.17	$651.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.09 / $415.94 / $582.32	Professional		$212.09	$415.94	$582.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $430.39 / $1,474.16 / $1,875.56	Facility		$430.39	$1,474.16	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.08 / $386.52 / $721.08	Professional		$242.08	$386.52	$721.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.02 / $468.49 / $670.41	Professional		$362.02	$468.49	$670.41
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $256.83 / $378.09 / $677.66	Professional		$256.83	$378.09	$677.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $460.34 / $568.01	Professional		$252.12	$460.34	$568.01