Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $741.31 / $1,288.25	Professional		$199.53	$741.31	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $323.59	Professional		$186.21	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $630.96 / $851.14	Facility		$562.34	$630.96	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $446.68 / $1,445.44	Professional		$204.17	$446.68	$1,445.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $851.14 / $1,230.27	Professional		$478.63	$851.14	$1,230.27
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $616.60 / $1,548.82	Professional		$194.98	$616.60	$1,548.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $977.24 / $1,148.15	Professional		$165.96	$977.24	$1,148.15