Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $246.52 / $315.43 / $496.85	Professional		$246.52	$315.43	$496.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $317.00 / $317.00 / $404.54	Professional		$317.00	$317.00	$404.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $400.78 / $400.78 / $400.78	Facility		$400.78	$400.78	$400.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.57 / $292.57 / $400.78	Professional		$292.57	$292.57	$400.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $414.25 / $591.78 / $852.16	Professional		$414.25	$591.78	$852.16
United Facility/Professional Professional Modifier Low / Median / High Price $266.57 / $310.00 / $468.16	Professional		$266.57	$310.00	$468.16
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $358.10 / $358.10 / $414.25	Professional		$358.10	$358.10	$414.25