Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $166.85 / $226.86 / $239.72	Professional		$166.85	$226.86	$239.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.00 / $217.53 / $235.00	Professional		$212.00	$217.53	$235.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.00 / $335.55 / $1,575.38	Facility		$314.00	$335.55	$1,575.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.51 / $202.43 / $346.40	Professional		$163.51	$202.43	$346.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.41 / $225.87 / $294.62	Professional		$196.41	$225.87	$294.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.02 / $184.75 / $355.39	Professional		$153.02	$184.75	$355.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $152.37 / $206.76 / $225.87	Professional		$152.37	$206.76	$225.87