Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.52 / $191.58 / $250.47	Professional		$158.52	$191.58	$250.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $166.28 / $184.76 / $253.12	Professional		$166.28	$184.76	$253.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $192.58 / $599.00 / $2,530.00	Facility		$192.58	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.97 / $210.55 / $389.35	Professional		$154.97	$210.55	$389.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.19 / $203.49 / $286.04	Professional		$163.19	$203.49	$286.04
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $186.85 / $318.85	Professional		$143.50	$186.85	$318.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $135.96 / $203.49 / $247.67	Professional		$135.96	$203.49	$247.67