Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.52 / $237.39 / $314.00	Professional		$193.52	$237.39	$314.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $195.46 / $217.18 / $308.98	Professional		$195.46	$217.18	$308.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $516.15 / $867.13	Facility		$376.00	$516.15	$867.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.81 / $259.30 / $476.86	Professional		$180.81	$259.30	$476.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $259.52 / $377.31	Professional		$190.07	$259.52	$377.31
United Facility/Professional Facility Modifier Low / Median / High Price $214.00 / $322.00 / $1,008.00	Facility		$214.00	$322.00	$1,008.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.73 / $233.20 / $440.11	Professional		$165.73	$233.20	$440.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $259.52 / $316.77	Professional		$163.24	$259.52	$316.77