Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.11 / $170.82 / $228.93	Professional		$145.11	$170.82	$228.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.55 / $170.10 / $282.37	Professional		$148.55	$170.10	$282.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $1,184.13 / $1,989.34	Facility		$582.00	$1,184.13	$1,989.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.97 / $201.52 / $365.60	Professional		$144.97	$201.52	$365.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $146.10 / $186.68 / $311.39	Professional		$146.10	$186.68	$311.39
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 $136.74 / $179.48 / $300.66	Professional		$136.74	$179.48	$300.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.49 / $178.92 / $222.52	Professional		$123.49	$178.92	$222.52