Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.31 / $177.84 / $215.18	Professional		$119.31	$177.84	$215.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.48 / $134.97 / $155.22	Professional		$121.48	$134.97	$155.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $195.82 / $339.37	Professional		$123.75	$195.82	$339.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $203.88 / $245.03 / $424.49	Professional		$203.88	$245.03	$424.49
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 $159.08 / $209.08 / $410.13	Professional		$159.08	$209.08	$410.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $143.83 / $162.28 / $247.33	Professional		$143.83	$162.28	$247.33