Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $267.70 / $318.25 / $511.33	Professional		$267.70	$318.25	$511.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $351.00 / $351.00 / $447.13	Professional		$351.00	$351.00	$447.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $408.71 / $408.71 / $408.71	Facility		$408.71	$408.71	$408.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $298.36 / $298.36 / $408.71	Professional		$298.36	$298.36	$408.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $457.86 / $654.09 / $941.89	Professional		$457.86	$654.09	$941.89
United Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $326.32 / $520.14	Professional		$276.57	$326.32	$520.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $391.87 / $391.87 / $457.86	Professional		$391.87	$391.87	$457.86