Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $190.55 / $575.44	Professional		$147.91	$190.55	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $151.36 / $190.55	Professional		$134.90	$151.36	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $363.08	Professional		$154.88	$208.93	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $204.17 / $380.19	Professional		$177.83	$204.17	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $223.87 / $363.08	Professional		$158.49	$223.87	$363.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $190.55 / $275.42	Professional		$173.78	$190.55	$275.42