Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.33 / $327.62 / $534.20	Professional		$278.33	$327.62	$534.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $446.41 / $446.41 / $456.73	Professional		$446.41	$446.41	$456.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Facility		$375.74	$375.74	$375.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.38 / $319.38 / $319.38	Professional		$319.38	$319.38	$319.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $467.69 / $668.13 / $962.11	Professional		$467.69	$668.13	$962.11
United Facility/Professional Professional Modifier Low / Median / High Price $300.95 / $349.99 / $528.55	Professional		$300.95	$349.99	$528.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $363.85 / $363.85 / $467.69	Professional		$363.85	$363.85	$467.69