Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.29 / $147.85 / $524.01	Professional		$138.29	$147.85	$524.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.94 / $153.60 / $343.17	Professional		$126.94	$153.60	$343.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,173.57 / $3,173.57 / $3,173.57	Facility		$3,173.57	$3,173.57	$3,173.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.37 / $177.61 / $303.83	Professional		$113.37	$177.61	$303.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.67 / $156.94 / $264.45	Professional		$121.67	$156.94	$264.45
United Facility/Professional Professional Modifier Low / Median / High Price $116.31 / $164.48 / $246.87	Professional		$116.31	$164.48	$246.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.09 / $117.09 / $174.44	Professional		$117.09	$117.09	$174.44