Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.83 / $289.12 / $517.29	Professional		$270.83	$289.12	$517.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.56 / $402.56 / $452.35	Professional		$402.56	$402.56	$452.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $419.48 / $419.48 / $419.48	Facility		$419.48	$419.48	$419.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $306.22 / $306.22 / $419.48	Professional		$306.22	$306.22	$419.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $463.20 / $661.72 / $952.88	Professional		$463.20	$661.72	$952.88
United Facility/Professional Professional Modifier Low / Median / High Price $273.08 / $330.12 / $526.20	Professional		$273.08	$330.12	$526.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.33 / $362.84 / $463.20	Professional		$316.33	$362.84	$463.20