Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $357.05 / $400.33 / $405.74	Professional		$357.05	$400.33	$405.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $438.20 / $486.89 / $662.17	Professional		$438.20	$486.89	$662.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.15 / $286.72 / $700.08	Facility		$21.15	$286.72	$700.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.72 / $621.57 / $776.96	Professional		$286.72	$621.57	$776.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $540.99 / $622.14 / $811.49	Professional		$540.99	$622.14	$811.49
United Facility/Professional Professional Modifier Low / Median / High Price $227.22 / $254.27 / $492.29	Professional		$227.22	$254.27	$492.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $210.99 / $270.50	Professional		$50.00	$210.99	$270.50