Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $436.52	Professional		$131.83	$162.18	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $141.25 / $194.98	Professional		$128.82	$141.25	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,162.28 / $3,162.28 / $3,162.28	Facility		$3,162.28	$3,162.28	$3,162.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $177.83 / $338.84	Professional		$125.89	$177.83	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $147.91 / $269.15	Professional		$131.83	$147.91	$269.15
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 $123.03 / $165.96 / $295.12	Professional		$123.03	$165.96	$295.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $151.36 / $204.17	Professional		$112.20	$151.36	$204.17