Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $154.88 / $363.08	Professional		$128.82	$154.88	$363.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $309.03	Professional		$128.82	$144.54	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $812.83 / $1,148.15	Facility		$380.19	$812.83	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $199.53 / $371.54	Professional		$128.82	$199.53	$371.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $239.88	Professional		$104.71	$138.04	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $194.98 / $316.23	Professional		$120.23	$194.98	$316.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $158.49 / $181.97	Professional		$131.83	$158.49	$181.97