Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $169.37 / $359.43	Professional		$89.37	$169.37	$359.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $100.21 / $152.32	Professional		$100.21	$100.21	$152.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.24 / $170.67 / $320.72	Professional		$94.24	$170.67	$320.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $144.34 / $213.59 / $317.49	Professional		$144.34	$213.59	$317.49
United Facility/Professional Professional Modifier Low / Median / High Price $131.47 / $180.51 / $304.14	Professional		$131.47	$180.51	$304.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.75 / $207.49 / $256.11	Professional		$114.75	$207.49	$256.11