Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $193.36 / $240.75 / $613.04	Professional		$193.36	$240.75	$613.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.73 / $252.79 / $279.05	Professional		$177.73	$252.79	$279.05
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 $205.48 / $298.73 / $557.44	Professional		$205.48	$298.73	$557.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $258.81 / $333.86 / $444.66	Professional		$258.81	$333.86	$444.66
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 $178.64 / $246.47 / $448.92	Professional		$178.64	$246.47	$448.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.52 / $297.63 / $366.05	Professional		$199.52	$297.63	$366.05