Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $199.53 / $363.08	Professional		$114.82	$199.53	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $208.93	Professional		$117.49	$131.83	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $1,862.09	Facility		$380.19	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $389.05	Professional		$117.49	$194.98	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $245.47 / $346.74	Professional		$162.18	$245.47	$346.74
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 $107.15 / $186.21 / $338.84	Professional		$107.15	$186.21	$338.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $263.03 / $338.84	Professional		$147.91	$263.03	$338.84