Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.05 / $272.88 / $418.39	Professional		$219.05	$272.88	$418.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.79 / $298.79 / $365.86	Professional		$298.79	$298.79	$365.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Professional		$245.30	$245.30	$245.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.64 / $535.20 / $770.69	Professional		$374.64	$535.20	$770.69
United Facility/Professional Professional Modifier Low / Median / High Price $220.88 / $267.01 / $427.82	Professional		$220.88	$267.01	$427.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $215.15 / $293.48 / $374.64	Professional		$215.15	$293.48	$374.64