Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $588.84	Professional		$144.54	$239.88	$588.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $208.93	Professional		$125.89	$169.82	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $331.13 / $338.84	Facility		$331.13	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $524.81	Professional		$154.88	$263.03	$524.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $316.23 / $489.78	Professional		$269.15	$316.23	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $245.47	Facility		$112.20	$141.25	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $239.88 / $436.52	Professional		$138.04	$239.88	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $323.59 / $416.87	Professional		$234.42	$323.59	$416.87