Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.42 / $339.63 / $858.10	Professional		$308.42	$339.63	$858.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.58 / $330.20 / $377.42	Professional		$329.58	$330.20	$377.42
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 $296.56 / $404.21 / $930.91	Professional		$296.56	$404.21	$930.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $308.41 / $410.19 / $657.59	Professional		$308.41	$410.19	$657.59
United Facility/Professional Professional Modifier Low / Median / High Price $262.29 / $355.73 / $740.07	Professional		$262.29	$355.73	$740.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.07 / $354.67 / $440.85	Professional		$239.07	$354.67	$440.85