Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.95 / $395.58 / $542.16	Professional		$313.95	$395.58	$542.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $620.50 / $737.60 / $737.60	Professional		$620.50	$737.60	$737.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $255.74 / $255.74 / $255.74	Facility		$255.74	$255.74	$255.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.76 / $217.38 / $255.74	Professional		$56.76	$217.38	$255.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.47 / $531.86 / $729.08	Professional		$429.47	$531.86	$729.08
United Facility/Professional Professional Modifier Low / Median / High Price $285.17 / $383.90 / $635.41	Professional		$285.17	$383.90	$635.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $441.90 / $480.38 / $594.58	Professional		$441.90	$480.38	$594.58