Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.86 / $272.38 / $409.77	Professional		$177.86	$272.38	$409.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.48 / $198.01 / $271.27	Professional		$179.48	$198.01	$271.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $135.54 / $599.00	Facility		$116.33	$135.54	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $305.05 / $575.63	Professional		$183.74	$305.05	$575.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.22 / $375.90 / $557.54	Professional		$266.22	$375.90	$557.54
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.71 / $303.91 / $546.51	Professional		$187.71	$303.91	$546.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $232.95 / $372.22 / $456.96	Professional		$232.95	$372.22	$456.96