Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.88 / $405.30 / $528.16	Professional		$319.88	$405.30	$528.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $534.79 / $641.76 / $641.76	Professional		$534.79	$641.76	$641.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $370.80 / $370.80 / $370.80	Facility		$370.80	$370.80	$370.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $315.18 / $315.18 / $370.80	Professional		$315.18	$315.18	$370.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $432.42 / $535.52 / $734.10	Professional		$432.42	$535.52	$734.10
United Facility/Professional Professional Modifier Low / Median / High Price $288.32 / $386.54 / $639.79	Professional		$288.32	$386.54	$639.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $499.86 / $499.86 / $605.71	Professional		$499.86	$499.86	$605.71