Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.31 / $389.41 / $394.67	Professional		$347.31	$389.41	$394.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $426.25 / $473.61 / $644.11	Professional		$426.25	$473.61	$644.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.87 / $367.72 / $680.98	Facility		$345.87	$367.72	$680.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $604.63 / $755.79	Professional		$278.89	$604.63	$755.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $526.23 / $605.16 / $789.35	Professional		$526.23	$605.16	$789.35
United Facility/Professional Professional Modifier Low / Median / High Price $221.02 / $247.33 / $478.86	Professional		$221.02	$247.33	$478.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.18 / $69.92 / $87.41	Professional		$68.18	$69.92	$87.41