Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $195.38 / $250.39 / $393.76	Professional		$195.38	$250.39	$393.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $255.00 / $255.00 / $324.54	Professional		$255.00	$255.00	$324.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $335.84 / $335.84 / $335.84	Facility		$335.84	$335.84	$335.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.16 / $245.16 / $245.16	Professional		$245.16	$245.16	$245.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $332.33 / $474.76 / $683.65	Professional		$332.33	$474.76	$683.65
United Facility/Professional Professional Modifier Low / Median / High Price $213.86 / $236.85 / $375.58	Professional		$213.86	$236.85	$375.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $269.42 / $269.42 / $332.33	Professional		$269.42	$269.42	$332.33