Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $274.63 / $331.17 / $451.15	Professional		$274.63	$331.17	$451.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $132.78 / $151.77	Professional		$132.78	$132.78	$151.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $398.18 / $398.18 / $398.18	Facility		$398.18	$398.18	$398.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.14 / $508.77 / $905.03	Professional		$324.14	$508.77	$905.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.56 / $458.67 / $724.66	Professional		$355.56	$458.67	$724.66
United Facility/Professional Professional Modifier Low / Median / High Price $294.02 / $453.77 / $733.73	Professional		$294.02	$453.77	$733.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $411.98 / $411.98 / $411.98	Professional		$411.98	$411.98	$411.98