Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.46 / $175.09 / $271.24	Professional		$95.46	$175.09	$271.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.14 / $108.73 / $163.09	Professional		$77.14	$108.73	$163.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,474.16 / $1,875.56	Facility		$376.00	$1,474.16	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $188.69 / $364.72	Professional		$97.10	$188.69	$364.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.57 / $255.71 / $366.21	Professional		$176.57	$255.71	$366.21
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $964.00 / $2,489.00	Facility		$717.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $161.82 / $225.46 / $428.85	Professional		$161.82	$225.46	$428.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $253.82 / $310.91	Professional		$138.88	$253.82	$310.91