Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $145.16 / $180.69 / $744.71	Professional		$145.16	$180.69	$744.71
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $127.40 / $167.90 / $192.75	Professional		$127.40	$167.90	$192.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.95 / $85.95 / $85.95	Facility		$85.95	$85.95	$85.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.53 / $216.89 / $455.47	Professional		$145.53	$216.89	$455.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.70 / $246.98 / $390.40	Professional		$185.70	$246.98	$390.40
United Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $424.00 / $424.00	Facility		$424.00	$424.00	$424.00
United Facility/Professional Professional Modifier Low / Median / High Price $152.66 / $207.64 / $435.35	Professional		$152.66	$207.64	$435.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $213.55 / $238.56 / $265.07	Professional		$213.55	$238.56	$265.07