Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.43 / $266.82 / $388.50	Professional		$157.43	$266.82	$388.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.74 / $190.08 / $220.44	Professional		$165.74	$190.08	$220.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.07 / $1,698.07 / $1,698.07	Facility		$1,698.07	$1,698.07	$1,698.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.74 / $306.02 / $601.50	Professional		$155.74	$306.02	$601.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $315.10 / $406.48 / $706.63	Professional		$315.10	$406.48	$706.63
United Facility/Professional Facility Modifier Low / Median / High Price $7,373.90 / $7,373.90 / $7,373.90	Facility		$7,373.90	$7,373.90	$7,373.90
United Facility/Professional Professional Modifier Low / Median / High Price $250.41 / $360.63 / $607.72	Professional		$250.41	$360.63	$607.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.94 / $362.37 / $446.88	Professional		$240.94	$362.37	$446.88