Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.78 / $315.93 / $482.63	Professional		$213.78	$315.93	$482.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $260.70 / $275.49 / $303.50	Professional		$260.70	$275.49	$303.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.77 / $224.44 / $722.49	Facility		$190.77	$224.44	$722.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.31 / $339.94 / $614.21	Professional		$212.31	$339.94	$614.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $359.23 / $434.86 / $610.16	Professional		$359.23	$434.86	$610.16
United Facility/Professional Facility Modifier Low / Median / High Price $1,009.00 / $1,009.00 / $1,009.00	Facility		$1,009.00	$1,009.00	$1,009.00
United Facility/Professional Professional Modifier Low / Median / High Price $283.00 / $363.86 / $649.58	Professional		$283.00	$363.86	$649.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $252.03 / $287.70 / $434.86	Professional		$252.03	$287.70	$434.86