Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.99 / $352.16 / $404.32	Professional		$298.99	$352.16	$404.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $326.36 / $337.82 / $408.76	Professional		$326.36	$337.82	$408.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $271.37 / $337.91 / $734.13	Professional		$271.37	$337.91	$734.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $381.78 / $605.75	Professional		$295.95	$381.78	$605.75
United Facility/Professional Professional Modifier Low / Median / High Price $243.62 / $328.48 / $607.59	Professional		$243.62	$328.48	$607.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $248.99 / $248.99 / $415.86	Professional		$248.99	$248.99	$415.86