Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $267.85 / $436.73	Professional		$234.42	$267.85	$436.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $304.94 / $306.11 / $373.40	Professional		$304.94	$306.11	$373.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $362.03 / $362.03 / $362.03	Facility		$362.03	$362.03	$362.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.27 / $264.27 / $362.03	Professional		$264.27	$264.27	$362.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $382.36 / $546.23 / $786.57	Professional		$382.36	$546.23	$786.57
United Facility/Professional Professional Modifier Low / Median / High Price $246.05 / $281.88 / $432.12	Professional		$246.05	$281.88	$432.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.54 / $302.54 / $382.36	Professional		$302.54	$302.54	$382.36