Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.68 / $388.28 / $614.16	Professional		$301.68	$388.28	$614.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $651.86 / $667.92 / $667.92	Professional		$651.86	$667.92	$667.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $459.79	Facility		$459.79	$459.79	$459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $390.82 / $390.82 / $459.79	Professional		$390.82	$390.82	$459.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $568.02 / $662.99 / $839.41	Professional		$568.02	$662.99	$839.41
United Facility/Professional Professional Modifier Low / Median / High Price $291.41 / $394.09 / $644.39	Professional		$291.41	$394.09	$644.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $510.56 / $615.24 / $615.24	Professional		$510.56	$615.24	$615.24