Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $213.80 / $389.05	Professional		$117.49	$213.80	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $138.04 / $165.96	Professional		$120.23	$138.04	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.24 / $1,698.24 / $1,698.24	Facility		$1,698.24	$1,698.24	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $229.09 / $426.58	Professional		$125.89	$229.09	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $263.03 / $389.05	Professional		$194.98	$263.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $199.53 / $363.08	Professional		$112.20	$199.53	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $346.74	Professional		$169.82	$295.12	$346.74