Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.19 / $209.91 / $341.11	Professional		$127.19	$209.91	$341.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.78 / $154.85 / $212.14	Professional		$113.78	$154.85	$212.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $152.79 / $178.01 / $437.00	Facility		$152.79	$178.01	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.55 / $225.74 / $421.71	Professional		$131.55	$225.74	$421.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $191.70 / $276.05 / $407.66	Professional		$191.70	$276.05	$407.66
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.14 / $242.83 / $433.89	Professional		$174.14	$242.83	$433.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.32 / $271.52 / $334.97	Professional		$172.32	$271.52	$334.97