Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $269.15 / $501.19	Professional		$208.93	$269.15	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $239.88 / $263.03	Professional		$177.83	$239.88	$263.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $123.03 / $338.84	Facility		$104.71	$123.03	$338.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $239.88 / $512.86	Professional		$190.55	$239.88	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $295.12 / $426.58	Professional		$251.19	$295.12	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $128.82	Facility		$89.13	$89.13	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $436.52	Professional		$169.82	$223.87	$436.52
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $269.15 / $363.08	Professional		$190.55	$269.15	$363.08