Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.39 / $268.00 / $540.02	Professional		$224.39	$268.00	$540.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $289.00 / $301.87 / $368.23	Professional		$289.00	$301.87	$368.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $393.88 / $393.88 / $393.88	Facility		$393.88	$393.88	$393.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.52 / $287.52 / $287.52	Professional		$287.52	$287.52	$287.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $377.06 / $538.66 / $775.67	Professional		$377.06	$538.66	$775.67
United Facility/Professional Professional Modifier Low / Median / High Price $242.64 / $268.73 / $420.89	Professional		$242.64	$268.73	$420.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $325.95 / $325.95 / $377.06	Professional		$325.95	$325.95	$377.06