Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.30 / $172.91 / $607.00	Professional		$171.30	$172.91	$607.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.14 / $211.83 / $285.00	Professional		$205.14	$211.83	$285.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,765.51 / $1,765.51 / $1,765.51	Facility		$1,765.51	$1,765.51	$1,765.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $257.88 / $523.71	Professional		$180.48	$257.88	$523.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $210.43 / $279.87 / $450.73	Professional		$210.43	$279.87	$450.73
United Facility/Professional Professional Modifier Low / Median / High Price $164.28 / $237.00 / $402.83	Professional		$164.28	$237.00	$402.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $183.73 / $241.99 / $298.58	Professional		$183.73	$241.99	$298.58