Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $549.54	Professional		$190.55	$239.88	$549.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $229.09 / $275.42	Professional		$204.17	$229.09	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $281.84 / $602.56	Professional		$204.17	$281.84	$602.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $234.42 / $363.08	Professional		$204.17	$234.42	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,621.81 / $1,621.81 / $1,621.81	Facility		$1,621.81	$1,621.81	$1,621.81
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $426.58	Professional		$186.21	$251.19	$426.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $263.03 / $309.03	Professional		$165.96	$263.03	$309.03