Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.74 / $219.41 / $327.52	Professional		$174.74	$219.41	$327.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.65 / $212.00 / $315.85	Professional		$191.65	$212.00	$315.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $509.00 / $1,441.78 / $2,470.35	Facility		$509.00	$1,441.78	$2,470.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.74 / $247.16 / $431.33	Professional		$176.74	$247.16	$431.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.10 / $247.26 / $351.18	Professional		$195.10	$247.26	$351.18
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $157.56 / $213.45 / $346.63	Professional		$157.56	$213.45	$346.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.33 / $236.96 / $292.64	Professional		$151.33	$236.96	$292.64