Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.24 / $377.55 / $377.55	Professional		$332.24	$377.55	$377.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $362.45 / $402.72 / $547.70	Professional		$362.45	$402.72	$547.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.85 / $351.76 / $651.42	Facility		$263.85	$351.76	$651.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.85 / $578.20 / $722.75	Professional		$263.85	$578.20	$722.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $503.40 / $578.91 / $755.10	Professional		$503.40	$578.91	$755.10
United Facility/Professional Professional Modifier Low / Median / High Price $211.43 / $239.12 / $458.08	Professional		$211.43	$239.12	$458.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.15 / $28.88 / $36.10	Professional		$28.15	$28.88	$36.10