Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $243.10 / $259.68 / $464.32	Professional		$243.10	$259.68	$464.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $331.60 / $331.60 / $406.04	Professional		$331.60	$331.60	$406.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.61 / $380.61 / $380.61	Facility		$380.61	$380.61	$380.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.85 / $277.85 / $277.85	Professional		$277.85	$277.85	$277.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $415.79 / $593.98 / $855.33	Professional		$415.79	$593.98	$855.33
United Facility/Professional Professional Modifier Low / Median / High Price $226.95 / $296.33 / $472.34	Professional		$226.95	$296.33	$472.34
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.57 / $321.57 / $415.79	Professional		$321.57	$321.57	$415.79