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 $301.79 / $301.79 / $365.86	Professional		$301.79	$301.79	$365.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $274.27 / $274.27 / $375.73	Professional		$274.27	$274.27	$375.73
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 $236.77 / $275.05 / $427.82	Professional		$236.77	$275.05	$427.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $226.13 / $301.51 / $374.64	Professional		$226.13	$301.51	$374.64