Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $343.69 / $532.04	Professional		$156.10	$343.69	$532.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $176.94 / $291.95	Professional		$144.54	$176.94	$291.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $909.33 / $1,530.89	Facility		$376.00	$909.33	$1,530.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.43 / $362.57 / $742.08	Professional		$159.43	$362.57	$742.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $301.14 / $500.36 / $803.92	Professional		$301.14	$500.36	$803.92
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 $330.00 / $454.48 / $827.30	Professional		$330.00	$454.48	$827.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $491.72 / $607.05	Professional		$303.77	$491.72	$607.05