Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $178.50 / $195.16	Professional		$150.00	$178.50	$195.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $190.40 / $243.71	Professional		$190.40	$190.40	$243.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $156.57 / $585.09	Professional		$91.12	$156.57	$585.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $285.60 / $357.00	Professional		$238.00	$285.60	$357.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.91 / $107.10 / $180.88	Professional		$67.91	$107.10	$180.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $119.00 / $189.21 / $189.21	Professional		$119.00	$189.21	$189.21