Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.65 / $171.13 / $334.86	Professional		$103.65	$171.13	$334.86
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $119.13 / $123.01 / $137.35	Professional		$119.13	$123.01	$137.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.62 / $197.62 / $398.20	Professional		$115.62	$197.62	$398.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $204.07 / $263.25 / $450.25	Professional		$204.07	$263.25	$450.25
United Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $198.05 / $351.22	Professional		$129.80	$198.05	$351.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $139.80 / $234.68 / $288.95	Professional		$139.80	$234.68	$288.95