Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $234.42 / $467.74	Professional		$120.23	$234.42	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $141.25 / $173.78	Professional		$125.89	$141.25	$173.78
Cigna 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
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $295.12 / $575.44	Professional		$144.54	$295.12	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $354.81 / $537.03	Professional		$269.15	$354.81	$537.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $234.42 / $478.63	Professional		$128.82	$234.42	$478.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $398.11 / $446.68	Professional		$117.49	$398.11	$446.68