Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $398.11 / $537.03	Professional		$331.13	$398.11	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $407.38 / $467.74	Professional		$363.08	$407.38	$467.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $331.13 / $645.65	Facility		$263.03	$331.13	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $575.44 / $724.44	Professional		$263.03	$575.44	$724.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $524.81 / $758.58	Professional		$478.63	$524.81	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $239.88 / $501.19	Facility		$213.80	$239.88	$501.19
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $234.42 / $489.78	Professional		$213.80	$234.42	$489.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $758.58	Professional		$28.18	$36.31	$758.58