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 $449.98 / $449.98 / $462.38	Professional		$449.98	$449.98	$462.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $437.50 / $437.50 / $437.50	Facility		$437.50	$437.50	$437.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $437.50	Professional		$319.38	$319.38	$437.50
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 $290.72 / $344.10 / $537.88	Professional		$290.72	$344.10	$537.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $373.77 / $373.77 / $473.47	Professional		$373.77	$373.77	$473.47