Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.29 / $339.45 / $509.18	Professional		$265.29	$339.45	$509.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $341.00 / $341.00 / $435.34	Professional		$341.00	$341.00	$435.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.94 / $397.94 / $397.94	Facility		$397.94	$397.94	$397.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.50 / $290.50 / $397.94	Professional		$290.50	$290.50	$397.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $445.79 / $636.84 / $917.05	Professional		$445.79	$636.84	$917.05
United Facility/Professional Professional Modifier Low / Median / High Price $286.87 / $317.70 / $503.81	Professional		$286.87	$317.70	$503.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $385.43 / $385.43 / $445.79	Professional		$385.43	$385.43	$445.79