Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $239.88 / $676.08	Professional		$173.78	$239.88	$676.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $309.03	Professional		$173.78	$194.98	$309.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $812.83 / $954.99	Facility		$575.44	$812.83	$954.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $257.04 / $758.58	Professional		$169.82	$257.04	$758.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $630.96 / $851.14	Professional		$288.40	$630.96	$851.14
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 $154.88 / $218.78 / $446.68	Professional		$154.88	$218.78	$446.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $741.31 / $870.96	Professional		$151.36	$741.31	$870.96