Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $562.34	Professional		$213.80	$288.40	$562.34
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $223.87 / $275.42	Professional		$199.53	$223.87	$275.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $316.23 / $338.84	Facility		$147.91	$316.23	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $489.78	Professional		$190.55	$269.15	$489.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $331.13 / $524.81	Professional		$263.03	$331.13	$524.81
United Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $295.12 / $426.58	Facility		$295.12	$295.12	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $251.19 / $457.09	Professional		$177.83	$251.19	$457.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $407.38	Professional		$181.97	$302.00	$407.38