Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.79 / $246.75 / $423.62	Professional		$221.79	$246.75	$423.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $291.00 / $291.00 / $370.44	Professional		$291.00	$291.00	$370.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $324.30 / $324.30 / $324.30	Facility		$324.30	$324.30	$324.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $236.74 / $236.74 / $236.74	Professional		$236.74	$236.74	$236.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $379.33 / $541.90 / $780.34	Professional		$379.33	$541.90	$780.34
United Facility/Professional Professional Modifier Low / Median / High Price $234.02 / $270.35 / $430.93	Professional		$234.02	$270.35	$430.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $310.93 / $310.93 / $379.33	Professional		$310.93	$310.93	$379.33