Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $226.90 / $416.68	Professional		$93.15	$226.90	$416.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $100.17 / $148.25	Professional		$100.17	$100.17	$148.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,474.16 / $1,875.56	Facility		$376.00	$1,474.16	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.53 / $254.17 / $558.57	Professional		$96.53	$254.17	$558.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.83 / $395.27 / $625.15	Professional		$269.83	$395.27	$625.15
United Facility/Professional Facility Modifier Low / Median / High Price $552.00 / $964.00 / $2,489.00	Facility		$552.00	$964.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.30 / $344.78 / $634.02	Professional		$236.30	$344.78	$634.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $200.62 / $387.88 / $475.59	Professional		$200.62	$387.88	$475.59