Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $407.38 / $1,288.25	Professional		$213.80	$407.38	$1,288.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $302.00	Professional		$181.97	$234.42	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $338.84 / $446.68	Facility		$331.13	$338.84	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $426.58 / $891.25	Professional		$229.09	$426.58	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $537.03 / $645.65 / $912.01	Professional		$537.03	$645.65	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $141.25 / $426.58	Facility		$112.20	$141.25	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $389.05 / $776.25	Professional		$194.98	$389.05	$776.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $660.69 / $794.33	Professional		$389.05	$660.69	$794.33