Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $114.82 / $288.40	Professional		$93.33	$114.82	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $109.65 / $173.78	Professional		$97.72	$109.65	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $1,862.09	Facility		$380.19	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $125.89 / $288.40	Professional		$89.13	$125.89	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $112.20 / $162.18	Professional		$87.10	$112.20	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,511.89	Facility		$724.44	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $117.49 / $208.93	Professional		$79.43	$117.49	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $125.89 / $147.91	Professional		$81.28	$125.89	$147.91