Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $234.42 / $524.81	Professional		$89.13	$234.42	$524.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $100.00 / $158.49	Professional		$89.13	$100.00	$158.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $1,318.26 / $1,862.09	Facility		$380.19	$1,318.26	$1,862.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $234.42 / $489.78	Professional		$95.50	$234.42	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $588.84	Professional		$234.42	$426.58	$588.84
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 $89.13 / $223.87 / $489.78	Professional		$89.13	$223.87	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $446.68 / $549.54	Professional		$117.49	$446.68	$549.54