Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $248.67 / $309.52 / $399.70	Professional		$248.67	$309.52	$399.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $265.80 / $268.47 / $364.15	Professional		$265.80	$268.47	$364.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $310.51 / $599.00 / $2,530.00	Facility		$310.51	$599.00	$2,530.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $246.02 / $335.64 / $629.39	Professional		$246.02	$335.64	$629.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $262.27 / $327.02 / $466.26	Professional		$262.27	$327.02	$466.26
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 $227.66 / $308.42 / $551.77	Professional		$227.66	$308.42	$551.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.99 / $327.02 / $398.12	Professional		$244.99	$327.02	$398.12