Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.21 / $416.22 / $866.47	Professional		$167.21	$416.22	$866.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $179.71 / $179.81 / $223.59	Professional		$179.71	$179.81	$223.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $333.15 / $333.15 / $333.15	Facility		$333.15	$333.15	$333.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $387.98 / $920.39	Professional		$169.91	$387.98	$920.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $374.46 / $483.05 / $895.30	Professional		$374.46	$483.05	$895.30
United Facility/Professional Professional Modifier Low / Median / High Price $231.39 / $457.16 / $797.48	Professional		$231.39	$457.16	$797.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $361.40 / $430.63 / $532.01	Professional		$361.40	$430.63	$532.01