Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.04 / $236.04 / $236.04	Professional		$236.04	$236.04	$236.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $321.87 / $437.74	Professional		$289.68	$321.87	$437.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $235.06 / $249.90 / $462.80	Facility		$235.06	$249.90	$462.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.54 / $410.94 / $513.66	Professional		$189.54	$410.94	$513.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $357.63 / $411.27 / $536.45	Professional		$357.63	$411.27	$536.45
United Facility/Professional Professional Modifier Low / Median / High Price $150.19 / $169.87 / $325.44	Professional		$150.19	$169.87	$325.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.35 / $4.25 / $4.30	Professional		$3.35	$4.25	$4.30