Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $201.71 / $256.75 / $397.64	Professional		$201.71	$256.75	$397.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $267.00 / $267.00 / $339.98	Professional		$267.00	$267.00	$339.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $315.70 / $315.70	Facility		$315.70	$315.70	$315.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.47 / $230.47 / $315.70	Professional		$230.47	$230.47	$315.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $348.15 / $497.35 / $716.18	Professional		$348.15	$497.35	$716.18
United Facility/Professional Professional Modifier Low / Median / High Price $219.87 / $249.23 / $393.45	Professional		$219.87	$249.23	$393.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $266.68 / $266.68 / $348.15	Professional		$266.68	$266.68	$348.15