Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.52 / $412.99 / $412.99	Professional		$269.52	$412.99	$412.99
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.10 / $400.10 / $400.10	Professional		$400.10	$400.10	$400.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $296.00 / $296.00 / $296.00	Facility		$296.00	$296.00	$296.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.60 / $251.60 / $251.60	Professional		$251.60	$251.60	$251.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $783.00 / $783.00 / $944.00	Professional		$783.00	$783.00	$944.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.47 / $357.47 / $357.47	Professional		$357.47	$357.47	$357.47