Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.85 / $308.75 / $598.21	Professional		$260.85	$308.75	$598.21
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.20 / $363.20 / $408.12	Professional		$363.20	$363.20	$408.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.20 / $386.20 / $386.20	Facility		$386.20	$386.20	$386.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.93 / $281.93 / $281.93	Professional		$281.93	$281.93	$281.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.91 / $597.02 / $859.71	Professional		$417.91	$597.02	$859.71
United Facility/Professional Professional Modifier Low / Median / High Price $279.24 / $320.47 / $472.30	Professional		$279.24	$320.47	$472.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.33 / $361.33 / $417.91	Professional		$361.33	$361.33	$417.91