Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.11 / $276.27 / $454.79	Professional		$238.11	$276.27	$454.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $312.00 / $312.00 / $397.70	Professional		$312.00	$312.00	$397.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $378.92 / $378.92 / $613.97	Facility		$378.92	$378.92	$613.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.61 / $276.61 / $378.92	Professional		$276.61	$276.61	$378.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $407.25 / $581.78 / $837.76	Professional		$407.25	$581.78	$837.76
United Facility/Professional Professional Modifier Low / Median / High Price $252.67 / $290.24 / $462.64	Professional		$252.67	$290.24	$462.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $348.54 / $348.54 / $407.25	Professional		$348.54	$348.54	$407.25