Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $206.89 / $629.04	Professional		$191.55	$206.89	$629.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $182.94 / $335.00	Professional		$172.30	$182.94	$335.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,822.49 / $7,822.49 / $7,822.49	Facility		$7,822.49	$7,822.49	$7,822.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.44 / $215.20 / $428.46	Professional		$157.44	$215.20	$428.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $170.52 / $219.97 / $368.67	Professional		$170.52	$219.97	$368.67
United Facility/Professional Facility Modifier Low / Median / High Price $3,522.00 / $3,522.00 / $3,522.00	Facility		$3,522.00	$3,522.00	$3,522.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $207.61 / $367.82	Professional		$151.00	$207.61	$367.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.81 / $136.81 / $240.57	Professional		$136.81	$136.81	$240.57