Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $216.59 / $271.80 / $395.18	Professional		$216.59	$271.80	$395.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $439.08 / $439.08 / $439.20	Professional		$439.08	$439.08	$439.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $327.62 / $327.62 / $327.62	Facility		$327.62	$327.62	$327.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.48 / $278.48 / $327.62	Professional		$278.48	$278.48	$327.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.20 / $384.24 / $599.74	Professional		$329.20	$384.24	$599.74
United Facility/Professional Professional Modifier Low / Median / High Price $213.85 / $277.35 / $459.06	Professional		$213.85	$277.35	$459.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $392.98 / $395.87 / $400.78	Professional		$392.98	$395.87	$400.78