Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.04 / $260.58 / $424.88	Professional		$228.04	$260.58	$424.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $323.29 / $323.29 / $323.29	Professional		$323.29	$323.29	$323.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $388.32 / $388.32 / $388.32	Facility		$388.32	$388.32	$388.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.07 / $330.07 / $388.32	Professional		$330.07	$330.07	$388.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.99 / $531.41 / $765.24	Professional		$371.99	$531.41	$765.24
United Facility/Professional Professional Modifier Low / Median / High Price $239.38 / $278.38 / $420.41	Professional		$239.38	$278.38	$420.41
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $294.39 / $319.70 / $371.99	Professional		$294.39	$319.70	$371.99