Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.94 / $226.19 / $372.34	Professional		$194.94	$226.19	$372.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $325.60	Professional		$255.00	$255.00	$325.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $297.62 / $297.62 / $297.62	Facility		$297.62	$297.62	$297.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.26 / $217.26 / $297.62	Professional		$217.26	$217.26	$297.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $333.41 / $476.30 / $685.87	Professional		$333.41	$476.30	$685.87
United Facility/Professional Professional Modifier Low / Median / High Price $206.86 / $237.62 / $378.76	Professional		$206.86	$237.62	$378.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $285.36 / $285.36 / $333.41	Professional		$285.36	$285.36	$333.41