Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.88 / $279.95 / $463.82	Professional		$213.88	$279.95	$463.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $416.92 / $416.92 / $416.92	Professional		$416.92	$416.92	$416.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $299.44 / $299.44 / $400.87	Facility		$299.44	$299.44	$400.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $254.52 / $254.52 / $365.81	Professional		$254.52	$254.52	$365.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.42 / $399.57 / $518.51	Professional		$294.42	$399.57	$518.51
United Facility/Professional Professional Modifier Low / Median / High Price $236.48 / $284.95 / $488.83	Professional		$236.48	$284.95	$488.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $357.13 / $357.13 / $363.54	Professional		$357.13	$357.13	$363.54