Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $258.67 / $518.97	Professional		$184.74	$258.67	$518.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $227.92 / $243.66 / $275.51	Professional		$227.92	$243.66	$275.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.18 / $149.62 / $335.55	Facility		$127.18	$149.62	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.23 / $270.70 / $479.65	Professional		$189.23	$270.70	$479.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $273.36 / $330.91 / $461.75	Professional		$273.36	$330.91	$461.75
United Facility/Professional Facility Modifier Low / Median / High Price $294.00 / $294.00 / $294.00	Facility		$294.00	$294.00	$294.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $270.64 / $491.74	Professional		$227.90	$270.64	$491.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $222.15 / $225.81 / $330.91	Professional		$222.15	$225.81	$330.91