Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.77 / $271.24 / $1,074.93	Professional		$200.77	$271.24	$1,074.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.67 / $202.72 / $231.71	Professional		$173.67	$202.72	$231.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,267.40 / $1,267.40 / $1,267.40	Facility		$1,267.40	$1,267.40	$1,267.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.19 / $350.60 / $698.24	Professional		$206.19	$350.60	$698.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $303.85 / $455.73 / $799.34	Professional		$303.85	$455.73	$799.34
United Facility/Professional Professional Modifier Low / Median / High Price $246.32 / $365.78 / $626.29	Professional		$246.32	$365.78	$626.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.82 / $406.27 / $497.66	Professional		$217.82	$406.27	$497.66