Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $286.27 / $324.45	Professional		$190.85	$286.27	$324.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $305.36 / $305.36 / $666.42	Professional		$305.36	$305.36	$666.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.50 / $251.01 / $1,102.84	Professional		$85.50	$251.01	$1,102.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $381.70 / $458.04 / $572.54	Professional		$381.70	$458.04	$572.54
United Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $171.77 / $309.14	Professional		$63.72	$171.77	$309.14
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $190.85 / $303.45 / $303.45	Professional		$190.85	$303.45	$303.45