Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.02 / $321.14 / $523.62	Professional		$281.02	$321.14	$523.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $398.41 / $398.41 / $447.70	Professional		$398.41	$398.41	$447.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $434.07 / $434.07 / $434.07	Facility		$434.07	$434.07	$434.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $316.87 / $316.87 / $434.07	Professional		$316.87	$316.87	$434.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $458.44 / $654.91 / $943.08	Professional		$458.44	$654.91	$943.08
United Facility/Professional Professional Modifier Low / Median / High Price $299.04 / $336.55 / $518.10	Professional		$299.04	$336.55	$518.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.71 / $362.71 / $458.44	Professional		$362.71	$362.71	$458.44