Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $194.98 / $457.09	Professional		$158.49	$194.98	$457.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $302.00	Professional		$173.78	$190.55	$302.00
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 $151.36 / $208.93 / $416.87	Professional		$151.36	$208.93	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $204.17 / $288.40	Professional		$158.49	$204.17	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $724.44 / $1,071.52 / $2,511.89	Facility		$724.44	$1,071.52	$2,511.89
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $346.74	Professional		$138.04	$194.98	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $229.09 / $269.15	Professional		$141.25	$229.09	$269.15