Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.72 / $118.69 / $636.94	Professional		$114.72	$118.69	$636.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $138.88 / $138.88 / $203.00	Professional		$138.88	$138.88	$203.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $167.12 / $167.12	Facility		$167.12	$167.12	$167.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $174.86 / $297.69	Professional		$102.86	$174.86	$297.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $158.11 / $261.73	Professional		$118.88	$158.11	$261.73
United Facility/Professional Professional Modifier Low / Median / High Price $110.78 / $150.47 / $250.28	Professional		$110.78	$150.47	$250.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.88 / $136.71 / $169.55	Professional		$118.88	$136.71	$169.55