Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $213.80 / $426.58	Professional		$79.43	$213.80	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $93.33 / $144.54	Professional		$83.18	$93.33	$144.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $457.09 / $660.69	Facility		$380.19	$457.09	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $208.93 / $436.52	Professional		$83.18	$208.93	$436.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $371.54 / $501.19	Professional		$194.98	$371.54	$501.19
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 $75.86 / $190.55 / $416.87	Professional		$75.86	$190.55	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $398.11 / $489.78	Professional		$104.71	$398.11	$489.78