Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.73 / $292.45 / $488.63	Professional		$231.73	$292.45	$488.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $407.19 / $407.19 / $407.19	Professional		$407.19	$407.19	$407.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $440.85	Facility		$333.25	$333.25	$440.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $283.26 / $408.42	Professional		$283.26	$283.26	$408.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $425.64 / $547.25	Professional		$324.64	$425.64	$547.25
United Facility/Professional Professional Modifier Low / Median / High Price $253.54 / $300.62 / $475.24	Professional		$253.54	$300.62	$475.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $398.43 / $398.43	Professional		$378.23	$398.43	$398.43