Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $390.65 / $483.03 / $650.38	Professional		$390.65	$483.03	$650.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $633.57 / $633.57 / $633.57	Professional		$633.57	$633.57	$633.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $369.39 / $369.39 / $369.39	Facility		$369.39	$369.39	$369.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.64 / $313.98 / $369.39	Professional		$269.64	$313.98	$369.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $639.91 / $822.75 / $987.30	Professional		$639.91	$822.75	$987.30
United Facility/Professional Professional Modifier Low / Median / High Price $374.93 / $502.63 / $794.35	Professional		$374.93	$502.63	$794.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $616.80 / $616.80 / $736.70	Professional		$616.80	$616.80	$736.70