Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.53 / $165.72 / $253.26	Professional		$80.53	$165.72	$253.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.14 / $89.04 / $151.37	Professional		$80.14	$89.04	$151.37
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 $81.80 / $186.89 / $364.38	Professional		$81.80	$186.89	$364.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $245.52 / $369.03	Professional		$147.76	$245.52	$369.03
United Facility/Professional Facility Modifier Low / Median / High Price $398.00 / $478.00 / $1,330.00	Facility		$398.00	$478.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $150.50 / $206.01 / $369.87	Professional		$150.50	$206.01	$369.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.36 / $242.72 / $297.27	Professional		$128.36	$242.72	$297.27