Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.03 / $287.83 / $435.54	Professional		$228.03	$287.83	$435.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $299.00 / $299.00 / $380.87	Professional		$299.00	$299.00	$380.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.20 / $272.20 / $372.88	Professional		$272.20	$272.20	$372.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $390.01 / $557.15 / $802.30	Professional		$390.01	$557.15	$802.30
United Facility/Professional Professional Modifier Low / Median / High Price $250.97 / $277.95 / $443.06	Professional		$250.97	$277.95	$443.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $333.79 / $390.01	Professional		$245.00	$333.79	$390.01