Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.00 / $335.13 / $546.44	Professional		$256.00	$335.13	$546.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $366.00 / $366.00 / $467.20	Professional		$366.00	$366.00	$467.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $493.58 / $493.58 / $493.58	Facility		$493.58	$493.58	$493.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $360.31 / $360.31 / $493.58	Professional		$360.31	$360.31	$493.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.42 / $683.45 / $984.17	Professional		$478.42	$683.45	$984.17
United Facility/Professional Professional Modifier Low / Median / High Price $285.49 / $342.41 / $540.66	Professional		$285.49	$342.41	$540.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $346.27 / $478.42	Professional		$346.27	$346.27	$478.42