Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.65 / $149.27 / $211.58	Professional		$104.65	$149.27	$211.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $118.07 / $160.58	Professional		$104.83	$118.07	$160.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.33 / $135.54 / $599.00	Facility		$116.33	$135.54	$599.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $171.80 / $346.78	Professional		$107.71	$171.80	$346.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $141.30 / $194.54 / $280.58	Professional		$141.30	$194.54	$280.58
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.47 / $183.52 / $323.56	Professional		$133.47	$183.52	$323.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $190.87 / $235.50	Professional		$129.66	$190.87	$235.50