Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.50 / $291.16 / $383.10	Professional		$112.50	$291.16	$383.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.00 / $335.00 / $499.15	Professional		$335.00	$335.00	$499.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.38 / $353.38 / $353.38	Facility		$353.38	$353.38	$353.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $288.05 / $379.55 / $673.84	Professional		$288.05	$379.55	$673.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.74 / $370.44 / $510.58	Professional		$288.74	$370.44	$510.58
United Facility/Professional Professional Modifier Low / Median / High Price $219.83 / $300.75 / $535.12	Professional		$219.83	$300.75	$535.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $171.00 / $171.00 / $171.00	Professional		$171.00	$171.00	$171.00