Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.71 / $176.64 / $267.19	Professional		$87.71	$176.64	$267.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $93.77 / $154.72	Professional		$93.77	$93.77	$154.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $667.46 / $1,121.33	Facility		$376.00	$667.46	$1,121.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.58 / $203.13 / $375.11	Professional		$91.58	$203.13	$375.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $174.40 / $253.36 / $379.89	Professional		$174.40	$253.36	$379.89
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 $167.91 / $231.27 / $439.91	Professional		$167.91	$231.27	$439.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $250.70 / $307.08	Professional		$143.50	$250.70	$307.08