Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $302.00 / $478.63	Professional		$208.93	$302.00	$478.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $302.00	Professional		$199.53	$223.87	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $489.78 / $512.86	Facility		$218.78	$489.78	$512.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $295.12 / $537.03	Professional		$181.97	$295.12	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $354.81 / $588.84	Professional		$288.40	$354.81	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $1,000.00 / $1,621.81	Facility		$1,000.00	$1,000.00	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $478.63	Professional		$186.21	$281.84	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $331.13 / $446.68	Professional		$199.53	$331.13	$446.68