Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.72 / $231.62 / $669.26	Professional		$138.72	$231.62	$669.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.19 / $145.19 / $165.96	Professional		$131.19	$145.19	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.07 / $1,698.07 / $1,698.07	Facility		$1,698.07	$1,698.07	$1,698.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.88 / $218.05 / $438.04	Professional		$129.88	$218.05	$438.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.24 / $289.27 / $494.38	Professional		$224.24	$289.27	$494.38
United Facility/Professional Professional Modifier Low / Median / High Price $176.72 / $250.63 / $447.33	Professional		$176.72	$250.63	$447.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $164.45 / $257.88 / $318.44	Professional		$164.45	$257.88	$318.44