Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.35 / $217.54 / $347.24	Professional		$140.35	$217.54	$347.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.13 / $169.33 / $231.98	Professional		$149.13	$169.33	$231.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $140.66 / $163.89 / $437.00	Facility		$140.66	$163.89	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.08 / $243.11 / $456.28	Professional		$147.08	$243.11	$456.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $275.52 / $415.63	Professional		$197.33	$275.52	$415.63
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 $206.98 / $275.52 / $474.23	Professional		$206.98	$275.52	$474.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $188.48 / $266.97 / $329.96	Professional		$188.48	$266.97	$329.96