Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.35 / $321.72 / $438.47	Professional		$263.35	$321.72	$438.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $383.66 / $383.66 / $427.88	Professional		$383.66	$383.66	$427.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.90 / $353.90 / $353.90	Facility		$353.90	$353.90	$353.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.82 / $300.82 / $353.90	Professional		$300.82	$300.82	$353.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $438.15 / $563.34 / $676.00	Professional		$438.15	$563.34	$676.00
United Facility/Professional Professional Modifier Low / Median / High Price $219.90 / $312.27 / $495.18	Professional		$219.90	$312.27	$495.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $399.42 / $399.42 / $532.04	Professional		$399.42	$399.42	$532.04