Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $136.63 / $208.05	Professional		$89.03	$136.63	$208.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.95 / $107.01 / $146.60	Professional		$100.95	$107.01	$146.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.58 / $599.00 / $2,530.00	Facility		$153.58	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.79 / $149.59 / $289.64	Professional		$90.79	$149.59	$289.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $130.26 / $175.85 / $254.87	Professional		$130.26	$175.85	$254.87
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 $128.72 / $175.61 / $292.95	Professional		$128.72	$175.61	$292.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.03 / $175.79 / $218.07	Professional		$139.03	$175.79	$218.07