Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $295.52 / $528.75	Professional		$276.83	$295.52	$528.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $377.60 / $377.60 / $462.38	Professional		$377.60	$377.60	$462.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.84 / $386.84 / $386.84	Facility		$386.84	$386.84	$386.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.39 / $282.39 / $386.84	Professional		$282.39	$282.39	$386.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $473.47 / $676.39 / $974.00	Professional		$473.47	$676.39	$974.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.14 / $337.45 / $537.88	Professional		$279.14	$337.45	$537.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $370.89 / $370.89 / $473.47	Professional		$370.89	$370.89	$473.47