Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $289.12 / $374.16	Professional		$205.49	$289.12	$374.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $473.40 / $489.00 / $489.00	Professional		$473.40	$489.00	$489.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $338.00 / $338.00 / $338.00	Facility		$338.00	$338.00	$338.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.30 / $287.30 / $338.00	Professional		$287.30	$287.30	$338.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.58 / $338.82 / $464.46	Professional		$273.58	$338.82	$464.46
United Facility/Professional Professional Modifier Low / Median / High Price $183.26 / $244.56 / $404.79	Professional		$183.26	$244.56	$404.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $322.99 / $322.99 / $427.89	Professional		$322.99	$322.99	$427.89