Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.66 / $302.69 / $478.53	Professional		$298.66	$302.69	$478.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $322.87 / $322.87 / $488.53	Professional		$322.87	$322.87	$488.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $265.35 / $992.32	Professional		$169.84	$265.35	$992.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $403.59 / $484.31 / $605.39	Professional		$403.59	$484.31	$605.39
United Facility/Professional Professional Modifier Low / Median / High Price $126.57 / $181.62 / $301.36	Professional		$126.57	$181.62	$301.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $320.85 / $320.85	Professional		$201.80	$320.85	$320.85