Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.13 / $215.33 / $253.42	Professional		$165.13	$215.33	$253.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.32 / $172.58 / $198.47	Professional		$155.32	$172.58	$198.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.36 / $234.28 / $415.22	Professional		$158.36	$234.28	$415.22
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $253.55 / $299.66 / $506.29	Professional		$253.55	$299.66	$506.29
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 $191.42 / $252.81 / $489.53	Professional		$191.42	$252.81	$489.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.74 / $195.33 / $292.25	Professional		$183.74	$195.33	$292.25