Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $273.69 / $589.51	Professional		$198.33	$273.69	$589.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.98 / $201.98 / $232.28	Professional		$201.98	$201.98	$232.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.72 / $322.66 / $554.54	Professional		$193.72	$322.66	$554.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $311.85 / $399.17 / $703.81	Professional		$311.85	$399.17	$703.81
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $333.25 / $642.21	Professional		$244.03	$333.25	$642.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.48 / $266.77 / $403.89	Professional		$219.48	$266.77	$403.89