Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.38 / $247.19 / $444.03	Professional		$201.38	$247.19	$444.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $321.29 / $321.29 / $323.52	Professional		$321.29	$321.29	$323.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.53 / $331.53 / $331.53	Facility		$331.53	$331.53	$331.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.80 / $281.80 / $341.48	Professional		$281.80	$281.80	$341.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.23 / $428.44 / $514.12	Professional		$333.23	$428.44	$514.12
United Facility/Professional Professional Modifier Low / Median / High Price $207.46 / $266.26 / $414.69	Professional		$207.46	$266.26	$414.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $315.83 / $315.83 / $404.63	Professional		$315.83	$315.83	$404.63