Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $241.23 / $477.53 / $629.29	Professional		$241.23	$477.53	$629.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $283.43 / $547.38 / $629.49	Professional		$283.43	$547.38	$629.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.20 / $462.21 / $1,168.14	Professional		$278.20	$462.21	$1,168.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $291.62 / $454.58 / $619.88	Professional		$291.62	$454.58	$619.88
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $73.09 / $104.72 / $146.18	Professional	26	$73.09	$104.72	$146.18
United Facility/Professional Professional Modifier Low / Median / High Price $211.16 / $368.23 / $743.00	Professional		$211.16	$368.23	$743.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.97 / $465.02 / $581.28	Professional		$212.97	$465.02	$581.28