Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $283.14 / $402.11	Professional		$229.53	$283.14	$402.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $397.90 / $397.90 / $397.90	Professional		$397.90	$397.90	$397.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.87 / $310.87 / $416.18	Facility		$310.87	$310.87	$416.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.24 / $264.24 / $378.06	Professional		$264.24	$264.24	$378.06
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $285.85 / $387.93 / $514.87	Professional		$285.85	$387.93	$514.87
United Facility/Professional Professional Modifier Low / Median / High Price $230.56 / $292.19 / $492.57	Professional		$230.56	$292.19	$492.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $359.76 / $359.76 / $3,470.98	Professional		$359.76	$359.76	$3,470.98