Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $512.86 / $691.83	Professional		$436.52	$512.86	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $467.74 / $537.03	Professional		$204.17	$467.74	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $398.11 / $741.31	Facility		$309.03	$398.11	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $549.54 / $1,778.28	Professional		$309.03	$549.54	$1,778.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $1,122.02	Professional		$575.44	$630.96	$1,122.02
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $245.47 / $436.52	Facility		$190.55	$245.47	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $346.74 / $524.81	Professional		$263.03	$346.74	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $870.96	Professional		$223.87	$562.34	$870.96