Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.84 / $212.70 / $382.17	Professional		$71.84	$212.70	$382.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.37 / $81.04 / $125.61	Professional		$80.37	$81.04	$125.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.88 / $208.59 / $401.22	Professional		$75.88	$208.59	$401.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $179.08 / $267.66 / $413.14	Professional		$179.08	$267.66	$413.14
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 $183.35 / $256.69 / $404.50	Professional		$183.35	$256.69	$404.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $172.31 / $257.43 / $317.39	Professional		$172.31	$257.43	$317.39