Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.94 / $320.22 / $560.40	Professional		$252.94	$320.22	$560.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $474.69 / $474.69 / $474.69	Professional		$474.69	$474.69	$474.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.09 / $376.09 / $376.09	Facility		$376.09	$376.09	$376.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.68 / $319.68 / $387.37	Professional		$319.68	$319.68	$387.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.67 / $477.86 / $608.40	Professional		$371.67	$477.86	$608.40
United Facility/Professional Professional Modifier Low / Median / High Price $284.14 / $334.15 / $533.72	Professional		$284.14	$334.15	$533.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $431.83 / $431.83 / $456.94	Professional		$431.83	$431.83	$456.94