Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.69 / $315.08 / $474.30	Professional		$256.69	$315.08	$474.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $420.24 / $420.24 / $420.24	Professional		$420.24	$420.24	$420.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.73 / $283.73 / $423.43	Facility		$283.73	$283.73	$423.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.17 / $241.17 / $283.73	Professional		$241.17	$241.17	$283.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $590.62 / $656.24 / $835.66	Professional		$590.62	$656.24	$835.66
United Facility/Professional Professional Modifier Low / Median / High Price $262.14 / $309.30 / $502.31	Professional		$262.14	$309.30	$502.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.39 / $410.39 / $517.57	Professional		$410.39	$410.39	$517.57