Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $165.96 / $407.38	Professional		$134.90	$165.96	$407.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $162.18 / $194.98	Professional		$144.54	$162.18	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,479.11 / $1,479.11 / $1,479.11	Facility		$1,479.11	$1,479.11	$1,479.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $199.53 / $389.05	Professional		$144.54	$199.53	$389.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $169.82 / $269.15	Professional		$144.54	$169.82	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $707.95 / $707.95	Facility		$707.95	$707.95	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $302.00	Professional		$120.23	$177.83	$302.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $186.21 / $223.87	Professional		$138.04	$186.21	$223.87