Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $302.00 / $707.95	Professional		$239.88	$302.00	$707.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $288.40 / $380.19	Professional		$257.04	$288.40	$380.19
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 $257.04 / $354.81 / $758.58	Professional		$257.04	$354.81	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $501.19	Professional		$213.80	$288.40	$501.19
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $309.03 / $537.03	Professional		$218.78	$309.03	$537.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $389.05	Professional		$213.80	$316.23	$389.05