Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $245.47	Professional		$204.17	$204.17	$245.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $616.60 / $616.60	Professional		$616.60	$616.60	$616.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $1,071.52	Facility		$204.17	$204.17	$1,071.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $204.17 / $239.88	Professional		$204.17	$204.17	$239.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $186.21 / $1,148.15	Professional		$131.83	$186.21	$1,148.15
United Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $263.03 / $1,047.13	Professional		$125.89	$263.03	$1,047.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $263.03	Professional		$151.36	$186.21	$263.03