Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.17 / $120.98 / $158.65	Professional		$100.17	$120.98	$158.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $130.97 / $208.26	Professional		$122.04	$130.97	$208.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $120.98 / $599.00 / $2,530.00	Facility		$120.98	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.17 / $133.03 / $251.15	Professional		$98.17	$133.03	$251.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.56 / $130.77 / $177.92	Professional		$103.56	$130.77	$177.92
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.33 / $122.85 / $223.97	Professional		$88.33	$122.85	$223.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.09 / $127.60 / $155.34	Professional		$86.09	$127.60	$155.34