Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.06 / $117.26 / $152.47	Professional		$96.06	$117.26	$152.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.54 / $109.54 / $181.00	Professional		$109.54	$109.54	$181.00
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 $90.97 / $130.26 / $285.38	Professional		$90.97	$130.26	$285.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.38 / $126.05 / $187.22	Professional		$102.38	$126.05	$187.22
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 $83.52 / $117.93 / $218.27	Professional		$83.52	$117.93	$218.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.16 / $126.05 / $153.57	Professional		$82.16	$126.05	$153.57