Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.55 / $156.97 / $417.70	Professional		$125.55	$156.97	$417.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.58 / $155.08 / $171.65	Professional		$111.58	$155.08	$171.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.94 / $206.40 / $462.62	Professional		$140.94	$206.40	$462.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $205.93 / $265.64 / $443.32	Professional		$205.93	$265.64	$443.32
United Facility/Professional Professional Modifier Low / Median / High Price $136.18 / $211.50 / $350.08	Professional		$136.18	$211.50	$350.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $142.75 / $236.82 / $291.75	Professional		$142.75	$236.82	$291.75