Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $193.54 / $294.88	Professional		$102.48	$193.54	$294.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.02 / $109.02 / $161.35	Professional		$109.02	$109.02	$161.35
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 $106.32 / $201.70 / $394.52	Professional		$106.32	$201.70	$394.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.50 / $266.95 / $402.87	Professional		$184.50	$266.95	$402.87
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 $169.68 / $238.65 / $420.74	Professional		$169.68	$238.65	$420.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.85 / $265.20 / $324.60	Professional		$142.85	$265.20	$324.60