Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $382.44 / $428.80 / $434.60	Professional		$382.44	$428.80	$434.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $417.21 / $463.57 / $630.46	Professional		$417.21	$463.57	$630.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $278.14 / $278.14 / $278.14	Facility		$278.14	$278.14	$278.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.26 / $552.45 / $832.20	Professional		$264.26	$552.45	$832.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $579.46 / $724.33 / $869.19	Professional		$579.46	$724.33	$869.19
United Facility/Professional Professional Modifier Low / Median / High Price $243.37 / $260.76 / $390.21	Professional		$243.37	$260.76	$390.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $225.99 / $231.78 / $289.73	Professional		$225.99	$231.78	$289.73