Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $269.15 / $776.25	Professional		$223.87	$269.15	$776.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $251.19 / $331.13	Professional		$229.09	$251.19	$331.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $316.23 / $676.08	Professional		$229.09	$316.23	$676.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $407.38	Professional		$223.87	$257.04	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $478.63	Professional		$208.93	$295.12	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $288.40 / $331.13	Professional		$190.55	$288.40	$331.13