Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.82 / $276.18 / $530.16	Professional		$204.82	$276.18	$530.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.70 / $336.33 / $554.94	Professional		$302.70	$336.33	$554.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.08 / $333.08 / $333.08	Facility		$333.08	$333.08	$333.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.80 / $303.18 / $537.15	Professional		$230.80	$303.18	$537.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.28 / $330.68 / $469.05	Professional		$245.28	$330.68	$469.05
United Facility/Professional Professional Modifier Low / Median / High Price $187.16 / $251.21 / $492.65	Professional		$187.16	$251.21	$492.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $184.37 / $316.82 / $409.41	Professional		$184.37	$316.82	$409.41