Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.08 / $136.66 / $171.99	Professional		$114.08	$136.66	$171.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $204.61 / $280.32	Professional		$204.61	$204.61	$280.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $693.21 / $1,164.58	Facility		$582.00	$693.21	$1,164.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.82 / $152.33 / $320.70	Professional		$111.82	$152.33	$320.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $148.07 / $250.50	Professional		$120.54	$148.07	$250.50
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $471.00 / $1,330.00	Facility		$418.00	$471.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.98 / $137.16 / $232.26	Professional		$99.98	$137.16	$232.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $26.00 / $26.00	Professional		$26.00	$26.00	$26.00