Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.52 / $322.87 / $775.91	Professional		$257.52	$322.87	$775.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.39 / $336.95 / $370.65	Professional		$255.39	$336.95	$370.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $285.18 / $409.52 / $781.07	Professional		$285.18	$409.52	$781.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.42 / $472.68 / $628.66	Professional		$366.42	$472.68	$628.66
United Facility/Professional Professional Modifier Low / Median / High Price $255.24 / $362.33 / $747.91	Professional		$255.24	$362.33	$747.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $281.33 / $421.38 / $517.76	Professional		$281.33	$421.38	$517.76