Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.18 / $226.87 / $386.16	Professional		$202.18	$226.87	$386.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.00 / $265.00 / $337.69	Professional		$265.00	$265.00	$337.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $387.54 / $387.54 / $387.54	Facility		$387.54	$387.54	$387.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $387.54	Professional		$282.89	$282.89	$387.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $345.80 / $494.00 / $711.36	Professional		$345.80	$494.00	$711.36
United Facility/Professional Professional Modifier Low / Median / High Price $208.87 / $246.45 / $392.84	Professional		$208.87	$246.45	$392.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $295.95 / $295.95 / $345.80	Professional		$295.95	$295.95	$345.80