Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.53 / $218.84 / $673.71	Professional		$169.53	$218.84	$673.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $198.27 / $198.27 / $293.44	Professional		$198.27	$198.27	$293.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $582.00 / $909.33 / $1,530.89	Facility		$582.00	$909.33	$1,530.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.55 / $284.75 / $743.87	Professional		$178.55	$284.75	$743.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.08 / $601.33 / $819.99	Professional		$320.08	$601.33	$819.99
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $212.24 / $409.13	Professional		$155.32	$212.24	$409.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $628.66 / $771.03	Professional		$150.86	$628.66	$771.03