Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.37 / $359.24 / $567.98	Professional		$297.37	$359.24	$567.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $390.00 / $390.00 / $496.67	Professional		$390.00	$390.00	$496.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $454.00 / $454.00 / $454.00	Facility		$454.00	$454.00	$454.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.42 / $331.42 / $454.00	Professional		$331.42	$331.42	$454.00
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $508.59 / $726.55 / $1,046.23	Professional		$508.59	$726.55	$1,046.23
United Facility/Professional Professional Modifier Low / Median / High Price $307.20 / $362.47 / $577.77	Professional		$307.20	$362.47	$577.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $435.28 / $435.28 / $508.59	Professional		$435.28	$435.28	$508.59