Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $524.81	Professional		$144.54	$204.17	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $208.93	Professional		$128.82	$141.25	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $512.86 / $1,479.11	Facility		$512.86	$512.86	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $229.09 / $467.74	Professional		$158.49	$229.09	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $302.00 / $436.52	Professional		$263.03	$302.00	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $645.65 / $1,174.90	Facility		$147.91	$645.65	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $208.93 / $389.05	Professional		$141.25	$208.93	$389.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $302.00 / $380.19	Professional		$186.21	$302.00	$380.19