Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.62 / $181.71 / $206.94	Professional		$161.62	$181.71	$206.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $187.90 / $187.90 / $275.00	Professional		$187.90	$187.90	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $445.00 / $445.00 / $453.73	Facility		$445.00	$445.00	$453.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.72 / $238.32 / $392.95	Professional		$159.72	$238.32	$392.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $184.31 / $240.55 / $315.39	Professional		$184.31	$240.55	$315.39
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $37.00 / $172.04	Facility		$36.00	$37.00	$172.04
United Facility/Professional Professional Modifier Low / Median / High Price $144.08 / $200.29 / $348.77	Professional		$144.08	$200.29	$348.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $153.80 / $214.44 / $263.30	Professional		$153.80	$214.44	$263.30