Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.68 / $132.41 / $171.72	Professional		$108.68	$132.41	$171.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.00 / $120.68 / $187.05	Professional		$113.00	$120.68	$187.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $4,005.88 / $5,692.56	Facility		$376.00	$4,005.88	$5,692.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.13 / $146.29 / $318.00	Professional		$104.13	$146.29	$318.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $115.73 / $142.55 / $209.89	Professional		$115.73	$142.55	$209.89
United Facility/Professional Facility Modifier Low / Median / High Price $857.00 / $1,379.00 / $3,219.00	Facility		$857.00	$1,379.00	$3,219.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $133.36 / $259.13	Professional		$96.88	$133.36	$259.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.41 / $142.55 / $173.60	Professional		$91.41	$142.55	$173.60