Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.24 / $196.28 / $224.49	Professional		$168.24	$196.28	$224.49
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $191.13 / $191.13 / $260.00	Professional		$191.13	$191.13	$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 $174.59 / $257.44 / $499.81	Professional		$174.59	$257.44	$499.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $200.06 / $261.19 / $335.87	Professional		$200.06	$261.19	$335.87
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 $152.22 / $222.16 / $401.55	Professional		$152.22	$222.16	$401.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.59 / $232.84 / $285.80	Professional		$190.59	$232.84	$285.80