Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $467.74 / $616.60	Professional		$380.19	$467.74	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $467.74 / $537.03	Professional		$158.49	$467.74	$537.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Facility		$275.42	$275.42	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $2,951.21	Professional		$263.03	$302.00	$2,951.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $630.96 / $870.96	Professional		$575.44	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $245.47 / $436.52	Facility		$144.54	$245.47	$436.52
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $263.03 / $524.81	Professional		$245.47	$263.03	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $288.40 / $870.96	Professional		$223.87	$288.40	$870.96