Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $181.97 / $416.87	Professional		$128.82	$181.97	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Professional		$144.54	$162.18	$194.98
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 $138.04 / $213.80 / $467.74	Professional		$138.04	$213.80	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $331.13	Professional		$177.83	$239.88	$331.13
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 $125.89 / $186.21 / $323.59	Professional		$125.89	$186.21	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $323.59	Professional		$141.25	$269.15	$323.59