Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $310.92 / $833.26	Professional		$293.70	$310.92	$833.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $313.22 / $314.45 / $411.07	Professional		$313.22	$314.45	$411.07
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,745.52 / $1,745.52 / $1,745.52	Facility		$1,745.52	$1,745.52	$1,745.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.99 / $404.19 / $886.55	Professional		$288.99	$404.19	$886.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.49 / $391.67 / $627.04	Professional		$294.49	$391.67	$627.04
United Facility/Professional Professional Modifier Low / Median / High Price $256.77 / $356.85 / $580.14	Professional		$256.77	$356.85	$580.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $231.23 / $338.66 / $421.50	Professional		$231.23	$338.66	$421.50