Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $269.15 / $741.31	Professional		$213.80	$269.15	$741.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $275.42 / $446.68	Professional		$245.47	$275.42	$446.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $338.84 / $660.69	Professional		$239.88	$338.84	$660.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $446.68	Professional		$239.88	$275.42	$446.68
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 $223.87 / $302.00 / $501.19	Professional		$223.87	$302.00	$501.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $302.00 / $363.08	Professional		$245.47	$302.00	$363.08