Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.24 / $265.99 / $343.51	Professional		$220.24	$265.99	$343.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.10 / $259.10 / $354.97	Professional		$259.10	$259.10	$354.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.61 / $599.00 / $2,530.00	Facility		$267.61	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $211.13 / $289.91 / $540.45	Professional		$211.13	$289.91	$540.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.59 / $281.27 / $401.04	Professional		$225.59	$281.27	$401.04
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 $195.99 / $269.24 / $491.11	Professional		$195.99	$269.24	$491.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.58 / $281.27 / $342.44	Professional		$189.58	$281.27	$342.44