Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.69 / $240.72 / $377.94	Professional		$129.69	$240.72	$377.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.68 / $147.29 / $245.97	Professional		$144.68	$147.29	$245.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $629.00 / $909.33 / $1,530.89	Facility		$629.00	$909.33	$1,530.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.22 / $305.22 / $562.59	Professional		$133.22	$305.22	$562.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $252.89 / $370.91 / $573.21	Professional		$252.89	$370.91	$573.21
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 $254.29 / $359.10 / $567.72	Professional		$254.29	$359.10	$567.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.68 / $398.83 / $443.15	Professional		$358.68	$398.83	$443.15