Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.64 / $260.20 / $419.51	Professional		$219.64	$260.20	$419.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $366.86	Professional		$288.00	$288.00	$366.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.34 / $335.34 / $335.34	Facility		$335.34	$335.34	$335.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $244.80 / $335.34	Professional		$244.80	$244.80	$335.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.66 / $536.66 / $772.79	Professional		$375.66	$536.66	$772.79
United Facility/Professional Professional Modifier Low / Median / High Price $241.75 / $267.73 / $426.77	Professional		$241.75	$267.73	$426.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.52 / $321.52 / $375.66	Professional		$321.52	$321.52	$375.66