Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.83 / $223.94 / $404.67	Professional		$182.83	$223.94	$404.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $277.67 / $277.67 / $287.20	Professional		$277.67	$277.67	$287.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $373.38 / $373.38 / $373.38	Facility		$373.38	$373.38	$373.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.37 / $317.37 / $317.37	Professional		$317.37	$317.37	$317.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $294.11 / $420.15 / $605.02	Professional		$294.11	$420.15	$605.02
United Facility/Professional Professional Modifier Low / Median / High Price $190.61 / $220.08 / $332.37	Professional		$190.61	$220.08	$332.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $254.23 / $254.23 / $294.11	Professional		$254.23	$254.23	$294.11