Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.20 / $290.63 / $335.95	Professional		$263.20	$290.63	$335.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.27 / $275.45 / $333.29	Professional		$260.27	$275.45	$333.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,675.27 / $1,675.27 / $1,675.27	Facility		$1,675.27	$1,675.27	$1,675.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.66 / $314.89 / $602.54	Professional		$224.66	$314.89	$602.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.36 / $316.51 / $518.90	Professional		$245.36	$316.51	$518.90
United Facility/Professional Professional Modifier Low / Median / High Price $211.82 / $282.41 / $448.31	Professional		$211.82	$282.41	$448.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.24 / $204.24 / $344.27	Professional		$204.24	$204.24	$344.27