Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.13 / $373.29 / $472.40	Professional		$272.13	$373.29	$472.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $599.70 / $644.29 / $644.29	Professional		$599.70	$644.29	$644.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.74 / $316.74 / $316.74	Facility		$316.74	$316.74	$316.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.23 / $269.23 / $316.74	Professional		$269.23	$269.23	$316.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.96 / $731.85 / $926.60	Professional		$590.96	$731.85	$926.60
United Facility/Professional Professional Modifier Low / Median / High Price $241.50 / $323.88 / $527.75	Professional		$241.50	$323.88	$527.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $425.39 / $425.39 / $572.55	Professional		$425.39	$425.39	$572.55