Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.07 / $376.81 / $381.90	Professional		$336.07	$376.81	$381.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $412.45 / $458.28 / $623.26	Professional		$412.45	$458.28	$623.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $334.67 / $355.81 / $658.94	Facility		$334.67	$355.81	$658.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.88 / $585.22 / $731.53	Professional		$269.88	$585.22	$731.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $509.20 / $585.58 / $763.80	Professional		$509.20	$585.58	$763.80
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $254.60 / $463.36	Professional		$213.86	$254.60	$463.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $69.92 / $87.41	Professional		$68.18	$69.92	$87.41