Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.59 / $218.95 / $379.31	Professional		$198.59	$218.95	$379.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.00 / $260.00 / $331.70	Professional		$260.00	$260.00	$331.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.03 / $345.03 / $345.03	Facility		$345.03	$345.03	$345.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.87 / $251.87 / $345.03	Professional		$251.87	$251.87	$345.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.65 / $485.22 / $698.72	Professional		$339.65	$485.22	$698.72
United Facility/Professional Professional Modifier Low / Median / High Price $192.13 / $242.07 / $385.86	Professional		$192.13	$242.07	$385.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $265.10 / $265.10 / $339.65	Professional		$265.10	$265.10	$339.65