Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $245.47 / $575.44	Professional		$144.54	$245.47	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $181.97	Professional		$128.82	$144.54	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $50.12 / $134.90	Facility		$50.12	$50.12	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $263.03 / $562.34	Professional		$154.88	$263.03	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $380.19 / $562.34	Professional		$323.59	$380.19	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $40.74 / $151.36	Facility		$36.31	$40.74	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $239.88 / $457.09	Professional		$144.54	$239.88	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $389.05 / $478.63	Professional		$229.09	$389.05	$478.63