Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $381.06 / $495.12	Professional		$279.24	$381.06	$495.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $459.41 / $515.04 / $515.04	Professional		$459.41	$515.04	$515.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $429.00 / $429.00 / $429.00	Facility		$429.00	$429.00	$429.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $364.65 / $364.65 / $429.00	Professional		$364.65	$364.65	$429.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $588.29 / $728.55 / $922.43	Professional		$588.29	$728.55	$922.43
United Facility/Professional Professional Modifier Low / Median / High Price $252.21 / $332.34 / $550.08	Professional		$252.21	$332.34	$550.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $444.54 / $444.54 / $574.60	Professional		$444.54	$444.54	$574.60