Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $252.78 / $353.68 / $516.27	Professional		$252.78	$353.68	$516.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $269.45 / $272.44 / $631.53	Professional		$269.45	$272.44	$631.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $136.19 / $160.22 / $335.55	Facility		$136.19	$160.22	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $234.59 / $406.31 / $702.94	Professional		$234.59	$406.31	$702.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $286.26 / $346.53 / $483.96	Professional		$286.26	$346.53	$483.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,386.00 / $1,386.00 / $1,386.00	Facility		$1,386.00	$1,386.00	$1,386.00
United Facility/Professional Professional Modifier Low / Median / High Price $258.01 / $454.53 / $653.38	Professional		$258.01	$454.53	$653.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $272.37 / $283.54 / $346.53	Professional		$272.37	$283.54	$346.53