Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.11 / $146.86 / $195.07	Professional		$122.11	$146.86	$195.07
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $142.00 / $142.00 / $227.20	Professional		$142.00	$142.00	$227.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.79 / $629.00 / $6,644.00	Facility		$147.79	$629.00	$6,644.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.88 / $166.75 / $328.87	Professional		$122.88	$166.75	$328.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.21 / $156.10 / $221.08	Professional		$125.21	$156.10	$221.08
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.74 / $153.03 / $252.19	Professional		$114.74	$153.03	$252.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.19 / $156.10 / $190.02	Professional		$109.19	$156.10	$190.02