Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $309.03 / $660.69	Professional		$151.36	$309.03	$660.69
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $138.04 / $194.98	Professional		$125.89	$138.04	$194.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $616.60	Professional		$128.82	$281.84	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $338.84 / $616.60	Professional		$251.19	$338.84	$616.60
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $295.12 / $588.84	Professional		$141.25	$295.12	$588.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $338.84 / $457.09	Professional		$288.40	$338.84	$457.09