Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.74 / $309.43 / $428.41	Professional		$212.74	$309.43	$428.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $246.98 / $246.98 / $316.13	Professional		$246.98	$246.98	$316.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $547.66 / $547.66 / $547.66	Facility		$547.66	$547.66	$547.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $418.11 / $418.11 / $418.11	Professional		$418.11	$418.11	$418.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.05 / $550.44 / $717.96	Professional		$429.05	$550.44	$717.96
United Facility/Professional Professional Modifier Low / Median / High Price $322.89 / $442.07 / $786.49	Professional		$322.89	$442.07	$786.49
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $505.82 / $620.78 / $689.76	Professional		$505.82	$620.78	$689.76