Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $954.99 / $2,818.38	Professional		$177.83	$954.99	$2,818.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $234.42	Professional		$173.78	$194.98	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $549.54 / $3,630.78	Professional		$190.55	$549.54	$3,630.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $1,659.59 / $2,187.76 / $4,168.69	Professional		$1,659.59	$2,187.76	$4,168.69
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $1,318.26 / $3,235.94	Professional		$169.82	$1,318.26	$3,235.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $2,454.71 / $3,019.95	Professional		$173.78	$2,454.71	$3,019.95