Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $288.40	Professional		$77.62	$112.20	$288.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $131.83	Professional		$87.10	$97.72	$131.83
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 $87.10 / $123.03 / $223.87	Professional		$87.10	$123.03	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $177.83	Professional		$87.10	$97.72	$177.83
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 $77.62 / $109.65 / $190.55	Professional		$77.62	$109.65	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $109.65 / $128.82	Professional		$89.13	$109.65	$128.82