Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $262.54 / $300.00 / $489.15	Professional		$262.54	$300.00	$489.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $367.91 / $367.91 / $418.22	Professional		$367.91	$367.91	$418.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $405.51 / $405.51 / $405.51	Facility		$405.51	$405.51	$405.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.02 / $296.02 / $405.51	Professional		$296.02	$296.02	$405.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $428.26 / $611.79 / $880.99	Professional		$428.26	$611.79	$880.99
United Facility/Professional Professional Modifier Low / Median / High Price $275.58 / $307.69 / $478.04	Professional		$275.58	$307.69	$478.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $338.84 / $428.26	Professional		$338.84	$338.84	$428.26