Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.02 / $256.83 / $418.76	Professional		$186.02	$256.83	$418.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.00 / $281.00 / $358.04	Professional		$281.00	$281.00	$358.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.52 / $274.52 / $274.52	Facility		$274.52	$274.52	$274.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $274.52	Professional		$200.41	$200.41	$274.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $366.63 / $523.76 / $754.21	Professional		$366.63	$523.76	$754.21
United Facility/Professional Professional Modifier Low / Median / High Price $206.69 / $274.37 / $414.36	Professional		$206.69	$274.37	$414.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.71 / $250.71 / $366.63	Professional		$250.71	$250.71	$366.63