Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $616.60	Professional		$169.82	$223.87	$616.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $218.78 / $269.15	Professional		$199.53	$218.78	$269.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $1,778.28 / $1,778.28	Facility		$1,778.28	$1,778.28	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $257.04 / $524.81	Professional		$181.97	$257.04	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $218.78 / $354.81	Professional		$190.55	$218.78	$354.81
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 $169.82 / $234.42 / $398.11	Professional		$169.82	$234.42	$398.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $288.40	Professional		$181.97	$239.88	$288.40