Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $218.78 / $512.86	Professional		$177.83	$218.78	$512.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $331.13 / $1,778.28	Professional		$302.00	$331.13	$1,778.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $295.12 / $616.60	Professional		$190.55	$295.12	$616.60
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $389.05	Professional		$194.98	$223.87	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Facility		$660.69	$660.69	$660.69
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $281.84 / $524.81	Professional		$128.82	$281.84	$524.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Professional		$208.93	$208.93	$208.93