Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.22 / $296.02 / $463.48	Professional		$194.22	$296.02	$463.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.49 / $190.76 / $261.33	Professional		$169.49	$190.76	$261.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $236.45 / $275.49 / $629.00	Facility		$236.45	$275.49	$629.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.07 / $333.16 / $644.86	Professional		$190.07	$333.16	$644.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $300.76 / $432.97 / $632.47	Professional		$300.76	$432.97	$632.47
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.16 / $357.24 / $620.29	Professional		$249.16	$357.24	$620.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $256.87 / $427.11 / $525.03	Professional		$256.87	$427.11	$525.03