Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.78 / $249.46 / $757.41	Professional		$138.78	$249.46	$757.41
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.68 / $129.68 / $172.33	Professional		$129.68	$129.68	$172.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.94 / $289.32 / $623.87	Professional		$145.94	$289.32	$623.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $280.24 / $372.72 / $638.47	Professional		$280.24	$372.72	$638.47
United Facility/Professional Professional Modifier Low / Median / High Price $191.91 / $321.58 / $581.27	Professional		$191.91	$321.58	$581.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.19 / $322.27 / $396.59	Professional		$117.19	$322.27	$396.59