Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.49 / $194.97 / $297.48	Professional		$103.49	$194.97	$297.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.89 / $116.15 / $180.03	Professional		$111.89	$116.15	$180.03
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 $105.58 / $201.21 / $398.67	Professional		$105.58	$201.21	$398.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.66 / $273.11 / $410.11	Professional		$188.66	$273.11	$410.11
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 $174.96 / $240.68 / $421.65	Professional		$174.96	$240.68	$421.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $271.19 / $332.00	Professional		$148.49	$271.19	$332.00