Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.67 / $267.95 / $368.17	Professional		$220.67	$267.95	$368.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $318.70 / $318.70 / $344.67	Professional		$318.70	$318.70	$344.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.16 / $347.16 / $455.65	Facility		$347.16	$347.16	$455.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.08 / $295.08 / $404.56	Professional		$295.08	$295.08	$404.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $355.01 / $456.44 / $547.72	Professional		$355.01	$456.44	$547.72
United Facility/Professional Professional Modifier Low / Median / High Price $203.29 / $283.58 / $452.07	Professional		$203.29	$283.58	$452.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $369.25 / $369.25 / $424.60	Professional		$369.25	$369.25	$424.60