Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $194.34 / $434.80	Professional		$141.12	$194.34	$434.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $131.04 / $207.45	Professional		$123.03	$131.04	$207.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $518.54 / $1,490.90	Facility		$507.00	$518.54	$1,490.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $240.82 / $469.37	Professional		$161.69	$240.82	$469.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.44 / $316.62 / $420.37	Professional		$245.44	$316.62	$420.37
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.57 / $235.04 / $434.29	Professional		$164.57	$235.04	$434.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $282.26 / $347.78	Professional		$186.37	$282.26	$347.78