Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.62 / $234.46 / $419.47	Professional		$219.62	$234.46	$419.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $288.00 / $288.00 / $366.82	Professional		$288.00	$288.00	$366.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $347.13 / $347.13 / $347.13	Facility		$347.13	$347.13	$347.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.40 / $253.40 / $347.13	Professional		$253.40	$253.40	$347.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $375.62 / $536.60 / $772.70	Professional		$375.62	$536.60	$772.70
United Facility/Professional Professional Modifier Low / Median / High Price $226.89 / $267.70 / $426.72	Professional		$226.89	$267.70	$426.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $321.48 / $321.48 / $375.62	Professional		$321.48	$321.48	$375.62