Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $208.93 / $389.05	Professional		$177.83	$208.93	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $323.59	Professional		$186.21	$208.93	$323.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $1,318.26 / $1,862.09	Facility		$512.86	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $416.87	Professional		$173.78	$234.42	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $208.93 / $302.00	Professional		$162.18	$208.93	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,511.89	Facility		$724.44	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $213.80 / $380.19	Professional		$154.88	$213.80	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $234.42 / $269.15	Professional		$151.36	$234.42	$269.15