Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.27 / $201.66 / $364.88	Professional		$81.27	$201.66	$364.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $91.46 / $127.58	Professional		$77.09	$91.46	$127.58
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 $84.49 / $212.37 / $489.25	Professional		$84.49	$212.37	$489.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $209.16 / $347.53 / $538.52	Professional		$209.16	$347.53	$538.52
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.92 / $290.27 / $489.21	Professional		$199.92	$290.27	$489.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $189.03 / $340.96 / $418.05	Professional		$189.03	$340.96	$418.05