Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.96 / $292.83 / $477.48	Professional		$213.96	$292.83	$477.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $320.00 / $320.00 / $408.24	Professional		$320.00	$320.00	$408.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $298.85 / $298.85 / $298.85	Facility		$298.85	$298.85	$298.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.16 / $218.16 / $298.85	Professional		$218.16	$218.16	$298.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $418.04 / $597.20 / $859.97	Professional		$418.04	$597.20	$859.97
United Facility/Professional Professional Modifier Low / Median / High Price $238.60 / $307.70 / $472.44	Professional		$238.60	$307.70	$472.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $289.39 / $289.39 / $418.04	Professional		$289.39	$289.39	$418.04