Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.34 / $285.07 / $666.33	Professional		$221.34	$285.07	$666.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $340.77 / $378.63 / $557.79	Professional		$340.77	$378.63	$557.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.22 / $599.00 / $2,530.00	Facility		$297.22	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.42 / $326.70 / $616.29	Professional		$236.42	$326.70	$616.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $244.68 / $300.56 / $416.43	Professional		$244.68	$300.56	$416.43
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.57 / $406.41 / $734.44	Professional		$182.57	$406.41	$734.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $311.95 / $311.95 / $311.95	Professional		$311.95	$311.95	$311.95