Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.80 / $165.75 / $253.95	Professional		$116.80	$165.75	$253.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $122.34 / $140.69	Professional		$110.10	$122.34	$140.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.94 / $172.62 / $295.29	Professional		$111.94	$172.62	$295.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.29 / $214.34 / $369.03	Professional		$184.29	$214.34	$369.03
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 $134.59 / $181.02 / $355.64	Professional		$134.59	$181.02	$355.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $130.16 / $141.53 / $214.67	Professional		$130.16	$141.53	$214.67