Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $177.83 / $309.03	Professional		$81.28	$177.83	$309.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $89.13 / $138.04	Professional		$79.43	$89.13	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $1,862.09	Facility		$380.19	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $177.83 / $338.84	Professional		$79.43	$177.83	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $263.03 / $363.08	Professional		$141.25	$263.03	$363.08
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 $72.44 / $151.36 / $302.00	Professional		$72.44	$151.36	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $281.84 / $346.74	Professional		$104.71	$281.84	$346.74