Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.78 / $173.20 / $202.85	Professional		$153.78	$173.20	$202.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.74 / $177.74 / $260.00	Professional		$177.74	$177.74	$260.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $518.54	Facility		$507.00	$507.00	$518.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.65 / $227.20 / $441.72	Professional		$157.65	$227.20	$441.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $176.76 / $230.77 / $300.12	Professional		$176.76	$230.77	$300.12
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 $137.56 / $196.52 / $355.21	Professional		$137.56	$196.52	$355.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.74 / $205.72 / $252.51	Professional		$173.74	$205.72	$252.51