Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $256.01 / $327.57 / $608.57	Professional		$256.01	$327.57	$608.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $330.00 / $344.40 / $420.11	Professional		$330.00	$344.40	$420.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $452.18 / $452.18 / $452.18	Facility		$452.18	$452.18	$452.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.09 / $330.09 / $452.18	Professional		$330.09	$330.09	$452.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $430.19 / $614.54 / $884.95	Professional		$430.19	$614.54	$884.95
United Facility/Professional Professional Modifier Low / Median / High Price $276.83 / $317.14 / $486.17	Professional		$276.83	$317.14	$486.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $371.88 / $371.88 / $430.19	Professional		$371.88	$371.88	$430.19