Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $891.25	Professional		$302.00	$371.54	$891.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $389.05 / $478.63	Professional		$257.04	$389.05	$478.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $331.13 / $338.84	Facility		$123.03	$331.13	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $436.52 / $851.14	Professional		$309.03	$436.52	$851.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $501.19 / $758.58	Professional		$436.52	$501.19	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $316.23	Facility		$36.31	$40.74	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $380.19 / $707.95	Professional		$263.03	$380.19	$707.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $512.86 / $630.96	Professional		$316.23	$512.86	$630.96