Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.42 / $108.16 / $420.81	Professional		$65.42	$108.16	$420.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.88 / $91.46 / $112.61	Professional		$86.88	$91.46	$112.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,346.87 / $2,346.87 / $2,346.87	Facility		$2,346.87	$2,346.87	$2,346.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.15 / $125.83 / $257.14	Professional		$78.15	$125.83	$257.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $170.38 / $276.56	Professional		$128.41	$170.38	$276.56
United Facility/Professional Professional Modifier Low / Median / High Price $90.00 / $131.99 / $225.16	Professional		$90.00	$131.99	$225.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.82 / $147.68 / $182.07	Professional		$92.82	$147.68	$182.07