Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.40 / $416.12 / $672.79	Professional		$165.40	$416.12	$672.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $141.66 / $193.37 / $221.02	Professional		$141.66	$193.37	$221.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $242.86 / $242.86 / $242.86	Facility		$242.86	$242.86	$242.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.53 / $386.17 / $893.96	Professional		$166.53	$386.17	$893.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $362.21 / $467.25 / $873.41	Professional		$362.21	$467.25	$873.41
United Facility/Professional Professional Modifier Low / Median / High Price $352.58 / $484.14 / $872.07	Professional		$352.58	$484.14	$872.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $362.21 / $416.54 / $514.23	Professional		$362.21	$416.54	$514.23