Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $295.12 / $537.03	Professional		$223.87	$295.12	$537.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $295.12 / $457.09	Professional		$263.03	$295.12	$457.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $1,318.26 / $1,513.56	Facility		$575.44	$1,318.26	$1,513.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $295.12 / $537.03	Professional		$208.93	$295.12	$537.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $331.13 / $467.74	Professional		$245.47	$331.13	$467.74
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 $194.98 / $281.84 / $512.86	Professional		$194.98	$281.84	$512.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $380.19 / $436.52	Professional		$181.97	$380.19	$436.52