Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $151.36 / $371.54	Professional		$114.82	$151.36	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $131.83 / $158.49	Professional		$117.49	$131.83	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $177.83 / $363.08	Professional		$120.23	$177.83	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $181.97 / $251.19	Professional		$134.90	$181.97	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $158.49 / $269.15	Professional		$107.15	$158.49	$269.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $223.87	Professional		$112.20	$204.17	$223.87