Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.00 / $254.90 / $408.74	Professional		$214.00	$254.90	$408.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $280.00 / $280.00 / $357.43	Professional		$280.00	$280.00	$357.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.35 / $373.35 / $373.35	Facility		$373.35	$373.35	$373.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.55 / $272.55 / $373.35	Professional		$272.55	$272.55	$373.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $522.86 / $752.92	Professional		$366.00	$522.86	$752.92
United Facility/Professional Professional Modifier Low / Median / High Price $221.08 / $260.85 / $415.79	Professional		$221.08	$260.85	$415.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $313.25 / $313.25 / $366.00	Professional		$313.25	$313.25	$366.00