Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $131.83 / $323.59	Professional		$100.00	$131.83	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $107.15 / $131.83	Professional		$97.72	$107.15	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $147.91 / $309.03	Professional		$100.00	$147.91	$309.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $245.47	Professional		$114.82	$154.88	$245.47
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $138.04 / $234.42	Professional		$91.20	$138.04	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $194.98	Professional		$97.72	$173.78	$194.98