Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.17 / $237.89 / $387.89	Professional		$208.17	$237.89	$387.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $259.77 / $259.77 / $331.65	Professional		$259.77	$259.77	$331.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.50 / $321.50 / $321.50	Facility		$321.50	$321.50	$321.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.70 / $234.70 / $234.70	Professional		$234.70	$234.70	$234.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $339.61 / $485.15 / $698.62	Professional		$339.61	$485.15	$698.62
United Facility/Professional Professional Modifier Low / Median / High Price $221.52 / $250.36 / $383.80	Professional		$221.52	$250.36	$383.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $268.69 / $268.69 / $339.61	Professional		$268.69	$268.69	$339.61