Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $211.93 / $296.68	Professional		$156.72	$211.93	$296.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.34 / $175.81 / $290.08	Professional		$137.34	$175.81	$290.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $2,754.30 / $3,914.00	Facility		$509.00	$2,754.30	$3,914.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.76 / $236.94 / $440.81	Professional		$154.76	$236.94	$440.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $202.46 / $271.16 / $401.71	Professional		$202.46	$271.16	$401.71
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 $159.81 / $236.45 / $416.05	Professional		$159.81	$236.45	$416.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $121.58 / $267.81 / $331.44	Professional		$121.58	$267.81	$331.44