Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $119.76 / $178.06 / $350.80	Professional		$119.76	$178.06	$350.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.58 / $134.90 / $148.38	Professional		$128.58	$134.90	$148.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $451.23	Facility		$445.00	$445.00	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $202.45 / $388.32	Professional		$118.53	$202.45	$388.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $199.55 / $257.50 / $390.18	Professional		$199.55	$257.50	$390.18
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.05 / $209.53 / $392.60	Professional		$148.05	$209.53	$392.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $229.55 / $285.08	Professional		$161.22	$229.55	$285.08