Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $230.37 / $274.14 / $440.01	Professional		$230.37	$274.14	$440.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $314.23 / $314.23 / $384.78	Professional		$314.23	$314.23	$384.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.46 / $347.46 / $347.46	Facility		$347.46	$347.46	$347.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.65 / $253.65 / $347.46	Professional		$253.65	$253.65	$347.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $394.01 / $562.87 / $810.53	Professional		$394.01	$562.87	$810.53
United Facility/Professional Professional Modifier Low / Median / High Price $232.85 / $280.81 / $447.61	Professional		$232.85	$280.81	$447.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $309.38 / $309.38 / $394.01	Professional		$309.38	$309.38	$394.01