Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.62 / $198.88 / $285.50	Professional		$151.62	$198.88	$285.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.31 / $178.30 / $267.45	Professional		$173.31	$178.30	$267.45
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 $155.63 / $218.80 / $444.78	Professional		$155.63	$218.80	$444.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $172.30 / $221.86 / $364.22	Professional		$172.30	$221.86	$364.22
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $992.00 / $2,489.00	Facility		$717.00	$992.00	$2,489.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.72 / $195.97 / $341.30	Professional		$140.72	$195.97	$341.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.16 / $221.50 / $270.33	Professional		$141.16	$221.50	$270.33