Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.24 / $221.47 / $360.97	Professional		$133.24	$221.47	$360.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $99.26 / $157.21 / $215.38	Professional		$99.26	$157.21	$215.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $155.21 / $175.90 / $437.00	Facility		$155.21	$175.90	$437.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.69 / $247.04 / $450.33	Professional		$138.69	$247.04	$450.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.69 / $294.75 / $424.34	Professional		$204.69	$294.75	$424.34
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.51 / $264.82 / $478.66	Professional		$193.51	$264.82	$478.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $194.35 / $290.93 / $358.92	Professional		$194.35	$290.93	$358.92