Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.69 / $372.52 / $377.55	Professional		$251.69	$372.52	$377.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.40 / $402.72 / $459.10	Professional		$91.40	$402.72	$459.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $266.80 / $351.76 / $651.42	Facility		$266.80	$351.76	$651.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $525.00 / $656.25	Professional		$266.80	$525.00	$656.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $629.25 / $755.10	Professional		$503.40	$629.25	$755.10
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $239.12 / $458.08	Professional		$211.43	$239.12	$458.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.33 / $201.36 / $251.70	Professional		$196.33	$201.36	$251.70