Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.48 / $289.06 / $489.60	Professional		$235.48	$289.06	$489.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.72 / $377.72 / $380.80	Professional		$377.72	$377.72	$380.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $382.62	Facility		$279.36	$279.36	$382.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $237.46 / $279.36	Professional		$237.46	$237.46	$279.36
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $543.54 / $603.94 / $769.05	Professional		$543.54	$603.94	$769.05
United Facility/Professional Professional Modifier Low / Median / High Price $238.43 / $282.83 / $458.49	Professional		$238.43	$282.83	$458.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.27 / $373.27 / $476.34	Professional		$373.27	$373.27	$476.34