Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.44 / $238.00 / $361.67	Professional		$206.44	$238.00	$361.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $232.54 / $232.79 / $305.00	Professional		$232.54	$232.79	$305.00
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 $211.74 / $288.88 / $656.28	Professional		$211.74	$288.88	$656.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $217.72 / $289.57 / $464.46	Professional		$217.72	$289.57	$464.46
United Facility/Professional Professional Modifier Low / Median / High Price $187.09 / $258.45 / $510.47	Professional		$187.09	$258.45	$510.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.51 / $250.38 / $310.97	Professional		$167.51	$250.38	$310.97