Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $361.65 / $568.28	Professional		$282.64	$361.65	$568.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $364.00 / $364.00 / $463.81	Professional		$364.00	$364.00	$463.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $472.30 / $472.30 / $472.30	Facility		$472.30	$472.30	$472.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $344.78 / $344.78 / $472.30	Professional		$344.78	$344.78	$472.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $474.95 / $678.50 / $977.04	Professional		$474.95	$678.50	$977.04
United Facility/Professional Professional Modifier Low / Median / High Price $312.97 / $355.42 / $536.76	Professional		$312.97	$355.42	$536.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $410.56 / $410.56 / $474.95	Professional		$410.56	$410.56	$474.95