Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.36 / $304.14 / $588.69	Professional		$256.36	$304.14	$588.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.30 / $477.49 / $477.49	Professional		$367.30	$477.49	$477.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $396.27	Facility		$330.77	$330.77	$396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.14 / $281.14 / $330.77	Professional		$281.14	$281.14	$330.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.54 / $371.71 / $494.37	Professional		$334.54	$371.71	$494.37
United Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $305.11 / $540.29	Professional		$243.10	$305.11	$540.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.43 / $766.60 / $766.60	Professional		$302.43	$766.60	$766.60