Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.17 / $92.68 / $122.50	Professional		$77.17	$92.68	$122.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.31 / $84.31 / $134.90	Professional		$84.31	$84.31	$134.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.41 / $599.00 / $2,530.00	Facility		$93.41	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $105.15 / $207.01	Professional		$77.70	$105.15	$207.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.20 / $98.76 / $139.21	Professional		$79.20	$98.76	$139.21
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 $71.61 / $96.80 / $159.65	Professional		$71.61	$96.80	$159.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $98.76 / $120.16	Professional		$68.19	$98.76	$120.16