Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $309.03	Professional		$144.54	$169.82	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $257.04	Professional		$144.54	$162.18	$257.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,047.13 / $1,513.56	Facility		$575.44	$1,047.13	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $190.55 / $346.74	Professional		$141.25	$190.55	$346.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $154.88 / $223.87	Professional		$117.49	$154.88	$223.87
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $177.83 / $302.00	Professional		$134.90	$177.83	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $177.83 / $204.17	Professional		$123.03	$177.83	$204.17