Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.04 / $248.00 / $445.48	Professional		$202.04	$248.00	$445.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.32 / $320.32 / $325.32	Professional		$320.32	$320.32	$325.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.25 / $333.25 / $333.25	Facility		$333.25	$333.25	$333.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.26 / $283.26 / $343.25	Professional		$283.26	$283.26	$343.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $335.08 / $430.81 / $516.97	Professional		$335.08	$430.81	$516.97
United Facility/Professional Professional Modifier Low / Median / High Price $206.84 / $243.71 / $395.36	Professional		$206.84	$243.71	$395.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.88 / $314.88 / $406.88	Professional		$314.88	$314.88	$406.88