Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $131.83 / $194.98	Professional		$112.20	$131.83	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $295.12	Professional		$186.21	$204.17	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $616.60 / $891.25	Facility		$575.44	$616.60	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $309.03	Professional		$107.15	$147.91	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $134.90 / $194.98	Professional		$104.71	$134.90	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $245.47	Professional		$100.00	$138.04	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $25.70	Professional		$25.70	$25.70	$25.70