Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $128.46 / $173.17	Professional		$109.53	$128.46	$173.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.96 / $146.26 / $232.55	Professional		$122.96	$146.26	$232.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $599.00 / $2,530.00	Facility		$129.34	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.60 / $158.27 / $286.22	Professional		$108.60	$158.27	$286.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.88 / $137.85 / $191.79	Professional		$107.88	$137.85	$191.79
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $149.84 / $243.43	Professional		$107.24	$149.84	$243.43
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.99 / $135.01 / $164.57	Professional		$112.99	$135.01	$164.57