Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $271.74 / $703.85	Professional		$215.47	$271.74	$703.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $218.04 / $282.56 / $311.19	Professional		$218.04	$282.56	$311.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $121.72	Facility		$50.00	$50.00	$121.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $231.66 / $337.55 / $660.88	Professional		$231.66	$337.55	$660.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $293.55 / $378.68 / $503.94	Professional		$293.55	$378.68	$503.94
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $203.27 / $288.70 / $512.48	Professional		$203.27	$288.70	$512.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $228.55 / $337.58 / $414.62	Professional		$228.55	$337.58	$414.62