Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.18 / $208.31 / $285.77	Professional		$96.18	$208.31	$285.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $104.10 / $117.97	Professional		$104.10	$104.10	$117.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $451.23 / $507.00 / $641.21	Facility		$451.23	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.53 / $216.80 / $489.27	Professional		$100.53	$216.80	$489.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.39 / $353.14 / $488.69	Professional		$272.39	$353.14	$488.69
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $199.40 / $276.02 / $498.91	Professional		$199.40	$276.02	$498.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.44 / $314.81 / $389.15	Professional		$222.44	$314.81	$389.15