Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.13 / $372.78 / $515.20	Professional		$282.13	$372.78	$515.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $446.74	Professional		$400.00	$400.00	$446.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $127.50 / $127.50 / $150.00	Professional		$127.50	$127.50	$150.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.64 / $465.19 / $637.69	Professional		$375.64	$465.19	$637.69
United Facility/Professional Professional Modifier Low / Median / High Price $250.18 / $335.78 / $555.77	Professional		$250.18	$335.78	$555.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $426.90 / $426.90 / $538.73	Professional		$426.90	$426.90	$538.73