Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.25 / $242.22 / $242.22	Professional		$233.25	$242.22	$242.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $258.37 / $258.37 / $294.54	Professional		$258.37	$258.37	$294.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.17 / $171.17 / $209.93	Professional		$171.17	$171.17	$209.93
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $322.95 / $387.55 / $616.21	Professional		$322.95	$387.55	$616.21
United Facility/Professional Facility Modifier Low / Median / High Price $135.63 / $135.63 / $135.63	Facility		$135.63	$135.63	$135.63
United Facility/Professional Professional Modifier Low / Median / High Price $135.63 / $157.88 / $286.91	Professional		$135.63	$157.88	$286.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.47 / $161.47 / $161.47	Professional		$161.47	$161.47	$161.47