Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $378.29 / $383.40 / $383.40	Professional		$378.29	$383.40	$383.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $414.07 / $460.08 / $625.71	Professional		$414.07	$460.08	$625.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $270.94 / $270.94 / $270.94	Facility		$270.94	$270.94	$270.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.94 / $587.29 / $734.11	Professional		$270.94	$587.29	$734.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $511.20 / $639.00 / $766.80	Professional		$511.20	$639.00	$766.80
United Facility/Professional Professional Modifier Low / Median / High Price $214.70 / $240.26 / $495.86	Professional		$214.70	$240.26	$495.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $163.93 / $168.13 / $210.17	Professional		$163.93	$168.13	$210.17