Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $321.02 / $776.69	Professional		$261.58	$321.02	$776.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.33 / $336.37 / $359.02	Professional		$286.33	$336.37	$359.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $121.72 / $330.00 / $339.05	Facility		$121.72	$330.00	$339.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $280.72 / $401.05 / $746.45	Professional		$280.72	$401.05	$746.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $342.46 / $441.77 / $587.14	Professional		$342.46	$441.77	$587.14
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 $238.21 / $335.46 / $634.64	Professional		$238.21	$335.46	$634.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $282.06 / $393.83 / $484.86	Professional		$282.06	$393.83	$484.86