Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.42 / $435.02 / $653.54	Professional		$97.42	$435.02	$653.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.85 / $100.38 / $121.46	Professional		$85.85	$100.38	$121.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.42 / $350.42 / $350.42	Facility		$350.42	$350.42	$350.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.54 / $200.33 / $830.48	Professional		$80.54	$200.33	$830.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $489.81 / $871.83	Professional		$284.77	$489.81	$871.83
United Facility/Professional Professional Modifier Low / Median / High Price $382.85 / $532.67 / $819.93	Professional		$382.85	$532.67	$819.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.50 / $370.50 / $538.49	Professional		$370.50	$370.50	$538.49