Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $204.17 / $549.54	Professional		$169.82	$204.17	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $288.40	Professional		$154.88	$173.78	$288.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,762.47 / $7,762.47 / $7,762.47	Facility		$7,762.47	$7,762.47	$7,762.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $218.78 / $426.58	Professional		$158.49	$218.78	$426.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $173.78 / $331.13	Professional		$154.88	$173.78	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,548.13 / $3,548.13 / $3,548.13	Facility		$3,548.13	$3,548.13	$3,548.13
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $371.54	Professional		$151.36	$204.17	$371.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $177.83 / $251.19	Professional		$138.04	$177.83	$251.19