Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.56 / $210.20 / $266.81	Professional		$181.56	$210.20	$266.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $243.30 / $243.30 / $515.00	Professional		$243.30	$243.30	$515.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,335.00 / $1,335.00 / $1,335.00	Facility		$1,335.00	$1,335.00	$1,335.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $274.47 / $531.08	Professional		$189.85	$274.47	$531.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $212.58 / $284.01 / $358.03	Professional		$212.58	$284.01	$358.03
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.50 / $227.98 / $401.17	Professional		$165.50	$227.98	$401.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $253.18 / $302.19	Professional		$195.39	$253.18	$302.19