Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.54 / $285.54 / $285.54	Professional		$285.54	$285.54	$285.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $274.12 / $304.58 / $414.23	Professional		$274.12	$304.58	$414.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $201.78 / $266.02 / $492.68	Facility		$201.78	$266.02	$492.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.78 / $437.37 / $546.71	Professional		$201.78	$437.37	$546.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $380.72 / $437.83 / $571.08	Professional		$380.72	$437.83	$571.08
United Facility/Professional Professional Modifier Low / Median / High Price $159.90 / $190.36 / $346.45	Professional		$159.90	$190.36	$346.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $190.36 / $336.26	Professional		$148.47	$190.36	$336.26