Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $209.90 / $253.57 / $400.91	Professional		$209.90	$253.57	$400.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.00 / $275.00 / $350.57	Professional		$275.00	$275.00	$350.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.86 / $263.86 / $361.45	Professional		$263.86	$263.86	$361.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $358.99 / $512.84 / $738.49	Professional		$358.99	$512.84	$738.49
United Facility/Professional Professional Modifier Low / Median / High Price $230.02 / $255.85 / $407.83	Professional		$230.02	$255.85	$407.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $305.63 / $305.63 / $358.99	Professional		$305.63	$305.63	$358.99