Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $340.30 / $344.90 / $344.90	Professional		$340.30	$344.90	$344.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $372.48 / $413.87 / $562.86	Professional		$372.48	$413.87	$562.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $243.73 / $243.73 / $243.73	Facility		$243.73	$243.73	$243.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $528.64 / $528.64 / $660.80	Professional		$528.64	$528.64	$660.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $459.86 / $528.84 / $689.79	Professional		$459.86	$528.84	$689.79
United Facility/Professional Professional Modifier Low / Median / High Price $193.14 / $206.94 / $418.46	Professional		$193.14	$206.94	$418.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $2.04 / $2.58 / $2.61	Professional		$2.04	$2.58	$2.61