Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.53 / $233.72 / $321.57	Professional		$203.53	$233.72	$321.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $239.00 / $254.26 / $348.34	Professional		$239.00	$254.26	$348.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $238.55 / $599.00 / $2,530.00	Facility		$238.55	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.34 / $274.19 / $499.38	Professional		$201.34	$274.19	$499.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.28 / $259.30 / $350.74	Professional		$205.28	$259.30	$350.74
United Facility/Professional Facility Modifier Low / Median / High Price $303.00 / $362.00 / $1,109.00	Facility		$303.00	$362.00	$1,109.00
United Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $253.02 / $457.65	Professional		$183.81	$253.02	$457.65
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $248.49 / $308.85	Professional		$173.03	$248.49	$308.85