Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $127.40 / $168.34	Professional		$104.97	$127.40	$168.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.85 / $123.55 / $169.26	Professional		$122.85	$123.55	$169.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.87 / $599.00 / $2,530.00	Facility		$127.87	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.33 / $140.86 / $267.36	Professional		$104.33	$140.86	$267.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.43 / $138.16 / $187.49	Professional		$109.43	$138.16	$187.49
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 $95.42 / $128.72 / $224.63	Professional		$95.42	$128.72	$224.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.39 / $134.76 / $164.15	Professional		$91.39	$134.76	$164.15