Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.97 / $355.13 / $561.48	Professional		$293.97	$355.13	$561.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $400.97 / $400.97 / $490.99	Professional		$400.97	$400.97	$490.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $512.80 / $512.80 / $512.80	Facility		$512.80	$512.80	$512.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.35 / $374.35 / $512.80	Professional		$374.35	$374.35	$512.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $502.78 / $718.26 / $1,034.29	Professional		$502.78	$718.26	$1,034.29
United Facility/Professional Professional Modifier Low / Median / High Price $323.54 / $358.33 / $571.16	Professional		$323.54	$358.33	$571.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $430.31 / $430.31 / $502.78	Professional		$430.31	$430.31	$502.78