Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.84 / $274.27 / $414.66	Professional		$219.84	$274.27	$414.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $327.08 / $327.08 / $364.78	Professional		$327.08	$327.08	$364.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $292.50 / $292.50	Facility		$292.50	$292.50	$292.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.63 / $248.63 / $301.27	Professional		$248.63	$248.63	$301.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $352.20 / $453.58 / $576.30	Professional		$352.20	$453.58	$576.30
United Facility/Professional Professional Modifier Low / Median / High Price $207.96 / $266.20 / $401.01	Professional		$207.96	$266.20	$401.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.33 / $353.12 / $427.67	Professional		$321.33	$353.12	$427.67