Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.02 / $300.14 / $449.46	Professional		$289.02	$300.14	$449.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $357.90 / $357.90 / $399.15	Professional		$357.90	$357.90	$399.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $234.00 / $234.00 / $234.00	Facility		$234.00	$234.00	$234.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.90 / $198.90 / $234.00	Professional		$198.90	$198.90	$234.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $408.72 / $525.50 / $630.60	Professional		$408.72	$525.50	$630.60
United Facility/Professional Professional Modifier Low / Median / High Price $241.35 / $291.29 / $461.92	Professional		$241.35	$291.29	$461.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $372.93 / $417.55 / $496.31	Professional		$372.93	$417.55	$496.31