Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $253.85 / $308.52 / $413.91	Professional		$253.85	$308.52	$413.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $361.57 / $371.99 / $613.78	Professional		$361.57	$371.99	$613.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.09 / $370.09 / $370.09	Facility		$370.09	$370.09	$370.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.81 / $355.95 / $634.75	Professional		$275.81	$355.95	$634.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.58 / $365.22 / $521.75	Professional		$286.58	$365.22	$521.75
United Facility/Professional Professional Modifier Low / Median / High Price $233.17 / $305.16 / $545.46	Professional		$233.17	$305.16	$545.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.01 / $350.26 / $452.18	Professional		$229.01	$350.26	$452.18