Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.23 / $167.61 / $292.04	Professional		$104.23	$167.61	$292.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.35 / $108.16 / $124.38	Professional		$97.35	$108.16	$124.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.74 / $157.52 / $271.22	Professional		$99.74	$157.52	$271.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.31 / $197.08 / $339.37	Professional		$164.31	$197.08	$339.37
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 $124.50 / $166.43 / $306.30	Professional		$124.50	$166.43	$306.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $116.15 / $129.85 / $198.95	Professional		$116.15	$129.85	$198.95