Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $239.88 / $302.00	Professional		$181.97	$239.88	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $218.78 / $245.47	Professional		$194.98	$218.78	$245.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $338.84 / $1,584.89	Facility		$316.23	$338.84	$1,584.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $436.52	Professional		$151.36	$204.17	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $269.15	Professional		$158.49	$186.21	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $1,380.38 / $2,238.72	Facility		$1,380.38	$1,380.38	$2,238.72
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $380.19	Professional		$151.36	$186.21	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $257.04	Professional		$151.36	$177.83	$257.04