Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $208.93 / $426.58	Professional		$77.62	$208.93	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $87.10 / $134.90	Professional		$77.62	$87.10	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $1,513.56	Facility		$380.19	$1,318.26	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $223.87 / $416.87	Professional		$81.28	$223.87	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $354.81 / $489.78	Professional		$177.83	$354.81	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $1,071.52 / $2,511.89	Facility		$602.56	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $181.97 / $407.38	Professional		$72.44	$181.97	$407.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $380.19 / $467.74	Professional		$100.00	$380.19	$467.74