Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $343.47 / $569.09	Professional		$227.21	$343.47	$569.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $275.39 / $295.73 / $311.20	Professional		$275.39	$295.73	$311.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $158.93	Facility		$50.00	$50.00	$158.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.94 / $395.98 / $717.94	Professional		$228.94	$395.98	$717.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $417.49 / $505.38 / $712.25	Professional		$417.49	$505.38	$712.25
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $247.85 / $411.23 / $696.37	Professional		$247.85	$411.23	$696.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $271.95 / $337.74 / $505.38	Professional		$271.95	$337.74	$505.38