Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.81 / $467.98 / $640.14	Professional		$377.81	$467.98	$640.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $540.17 / $573.84 / $946.84	Professional		$540.17	$573.84	$946.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.26 / $569.26 / $569.26	Facility		$569.26	$569.26	$569.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $416.95 / $534.70 / $971.69	Professional		$416.95	$534.70	$971.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.77 / $557.46 / $796.37	Professional		$438.77	$557.46	$796.37
United Facility/Professional Professional Modifier Low / Median / High Price $347.89 / $468.35 / $832.09	Professional		$347.89	$468.35	$832.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $336.55 / $536.27 / $690.18	Professional		$336.55	$536.27	$690.18