Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $332.64 / $378.00 / $413.28	Professional		$332.64	$378.00	$413.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $403.20 / $453.60 / $517.10	Professional		$403.20	$453.60	$517.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.12 / $331.26 / $652.21	Facility		$267.12	$331.26	$652.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $267.12 / $358.20 / $1,238.58	Professional		$267.12	$358.20	$1,238.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $604.79 / $756.00	Professional		$504.00	$604.79	$756.00
United Facility/Professional Professional Modifier Low / Median / High Price $211.68 / $226.80 / $458.63	Professional		$211.68	$226.80	$458.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $196.56 / $201.60 / $252.00	Professional		$196.56	$201.60	$252.00