Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.87 / $250.18 / $338.98	Professional		$155.87	$250.18	$338.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.22 / $153.22 / $203.68	Professional		$153.22	$153.22	$203.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $1,134.73	Facility		$330.00	$339.05	$1,134.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.30 / $304.64 / $639.40	Professional		$168.30	$304.64	$639.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $324.64 / $418.79 / $563.41	Professional		$324.64	$418.79	$563.41
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 $214.57 / $300.61 / $638.79	Professional		$214.57	$300.61	$638.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $227.83 / $373.34 / $458.75	Professional		$227.83	$373.34	$458.75