Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $134.90 / $302.00	Professional		$72.44	$134.90	$302.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $79.43 / $97.72	Professional		$64.57	$79.43	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $144.54 / $316.23	Professional		$74.13	$144.54	$316.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $281.84	Professional		$151.36	$204.17	$281.84
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 $66.07 / $125.89 / $239.88	Professional		$66.07	$125.89	$239.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $229.09 / $263.03	Professional		$93.33	$229.09	$263.03