Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $218.97 / $275.67 / $413.51	Professional		$218.97	$275.67	$413.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.00 / $289.83 / $353.54	Professional		$277.00	$289.83	$353.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $364.44 / $364.44 / $364.44	Facility		$364.44	$364.44	$364.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.04 / $266.04 / $364.44	Professional		$266.04	$266.04	$364.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.03 / $517.17 / $744.74	Professional		$362.03	$517.17	$744.74
United Facility/Professional Professional Modifier Low / Median / High Price $232.96 / $270.92 / $409.14	Professional		$232.96	$270.92	$409.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $312.95 / $312.95 / $362.03	Professional		$312.95	$312.95	$362.03