Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.88 / $272.98 / $385.80	Professional		$179.88	$272.98	$385.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.18 / $176.42 / $194.06	Professional		$154.18	$176.42	$194.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.56 / $330.00 / $641.21	Facility		$134.56	$330.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.49 / $346.61 / $722.89	Professional		$187.49	$346.61	$722.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $387.95 / $511.18 / $679.65	Professional		$387.95	$511.18	$679.65
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 $220.05 / $339.82 / $649.36	Professional		$220.05	$339.82	$649.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $243.40 / $455.70 / $554.22	Professional		$243.40	$455.70	$554.22