Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.59 / $228.84 / $317.20	Professional		$152.59	$228.84	$317.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $151.86 / $167.05	Professional		$125.81	$151.86	$167.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $134.56	Facility		$50.00	$50.00	$134.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.61 / $288.30 / $583.24	Professional		$167.61	$288.30	$583.24
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $321.98 / $420.28 / $561.33	Professional		$321.98	$420.28	$561.33
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 $187.78 / $294.04 / $585.48	Professional		$187.78	$294.04	$585.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $205.86 / $374.67 / $459.97	Professional		$205.86	$374.67	$459.97