Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $269.15 / $338.84	Professional		$239.88	$269.15	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $288.40	Professional		$234.42	$257.04	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $169.82 / $208.93	Professional		$169.82	$169.82	$208.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $371.54 / $489.78	Professional		$323.59	$371.54	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $245.47	Facility		$134.90	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $162.18 / $281.84	Professional		$134.90	$162.18	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Professional		$162.18	$162.18	$162.18