Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.73 / $443.44 / $677.14	Professional		$310.73	$443.44	$677.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $546.47 / $546.47 / $546.47	Professional		$546.47	$546.47	$546.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $464.99 / $464.99 / $636.97	Professional		$464.99	$464.99	$636.97
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $453.31 / $647.58 / $971.37	Professional		$453.31	$647.58	$971.37
United Facility/Professional Professional Modifier Low / Median / High Price $423.22 / $537.41 / $839.10	Professional		$423.22	$537.41	$839.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $574.54 / $818.36	Professional		$240.00	$574.54	$818.36