Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $120.23 / $275.42	Professional		$47.86	$120.23	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $54.95 / $63.10	Professional		$50.12	$54.95	$63.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $85.11	Facility		$42.66	$42.66	$85.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $112.20 / $281.84	Professional		$48.98	$112.20	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $204.17	Professional		$69.18	$151.36	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $181.97 / $575.44	Facility		$36.31	$181.97	$575.44
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $112.20 / $257.04	Professional		$47.86	$112.20	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $147.91 / $208.93	Professional		$51.29	$147.91	$208.93