Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $153.91 / $264.04	Professional		$61.37	$153.91	$264.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.87 / $61.87 / $85.83	Professional		$61.87	$61.87	$85.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.25 / $69.25 / $69.25	Facility		$69.25	$69.25	$69.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.57 / $136.30 / $303.38	Professional		$62.57	$136.30	$303.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.30 / $181.81 / $280.07	Professional		$87.30	$181.81	$280.07
United Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $158.93 / $309.44	Professional		$68.83	$158.93	$309.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.24 / $168.34 / $221.83	Professional		$50.24	$168.34	$221.83