Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $245.47 / $316.23	Professional		$208.93	$245.47	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $239.88 / $275.42	Professional		$218.78	$239.88	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $346.74 / $457.09	Professional		$302.00	$346.74	$457.09
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $125.89 / $229.09	Facility		$125.89	$125.89	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $245.47	Professional		$125.89	$134.90	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $239.88 / $239.88	Professional		$151.36	$239.88	$239.88