Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.95 / $350.52 / $513.26	Professional		$273.95	$350.52	$513.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $353.00 / $368.54 / $449.55	Professional		$353.00	$368.54	$449.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $410.92 / $410.92 / $410.92	Facility		$410.92	$410.92	$410.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.97 / $299.97 / $410.92	Professional		$299.97	$299.97	$410.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $460.33 / $657.62 / $946.97	Professional		$460.33	$657.62	$946.97
United Facility/Professional Professional Modifier Low / Median / High Price $296.23 / $339.37 / $520.24	Professional		$296.23	$339.37	$520.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $398.00 / $398.00 / $460.33	Professional		$398.00	$398.00	$460.33