Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $277.20 / $1,395.50	Professional		$267.55	$277.20	$1,395.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.99 / $287.70 / $328.84	Professional		$284.99	$287.70	$328.84
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 $263.73 / $373.16 / $811.12	Professional		$263.73	$373.16	$811.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $268.55 / $346.43 / $574.63	Professional		$268.55	$346.43	$574.63
United Facility/Professional Professional Modifier Low / Median / High Price $232.58 / $338.58 / $534.46	Professional		$232.58	$338.58	$534.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $212.49 / $308.83 / $384.63	Professional		$212.49	$308.83	$384.63