Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.03 / $292.20 / $1,117.51	Professional		$199.03	$292.20	$1,117.51
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $201.32 / $231.01 / $264.05	Professional		$201.32	$231.01	$264.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.67 / $190.67 / $190.67	Facility		$190.67	$190.67	$190.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.50 / $349.13 / $676.67	Professional		$212.50	$349.13	$676.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $298.39 / $384.94 / $663.70	Professional		$298.39	$384.94	$663.70
United Facility/Professional Professional Modifier Low / Median / High Price $264.36 / $357.83 / $641.07	Professional		$264.36	$357.83	$641.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $262.36 / $343.16 / $425.31	Professional		$262.36	$343.16	$425.31