Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.63 / $279.68 / $439.35	Professional		$215.63	$279.68	$439.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $295.00 / $307.95 / $375.65	Professional		$295.00	$307.95	$375.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $365.10 / $365.10 / $365.10	Facility		$365.10	$365.10	$365.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $266.52 / $266.52 / $365.10	Professional		$266.52	$266.52	$365.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $384.66 / $549.52 / $791.31	Professional		$384.66	$549.52	$791.31
United Facility/Professional Professional Modifier Low / Median / High Price $240.46 / $283.58 / $434.73	Professional		$240.46	$283.58	$434.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $291.67 / $291.67 / $384.66	Professional		$291.67	$291.67	$384.66