Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.35 / $247.31 / $263.92	Professional		$213.35	$247.31	$263.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.37 / $260.19 / $286.20	Professional		$186.37	$260.19	$286.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $791.44	Facility		$330.00	$339.05	$791.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $217.77 / $309.83 / $584.76	Professional		$217.77	$309.83	$584.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $266.81 / $344.18 / $456.56	Professional		$266.81	$344.18	$456.56
United Facility/Professional Facility Modifier Low / Median / High Price $215.00 / $215.00 / $471.00	Facility		$215.00	$215.00	$471.00
United Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $264.30 / $485.84	Professional		$174.23	$264.30	$485.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.58 / $306.83 / $376.64	Professional		$199.58	$306.83	$376.64