Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $190.55 / $281.84	Professional		$151.36	$190.55	$281.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $190.55 / $218.78	Professional		$169.82	$190.55	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $147.91 / $416.87	Professional		$97.72	$147.91	$416.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $275.42 / $354.81	Professional		$239.88	$275.42	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $100.00 / $181.97	Facility		$100.00	$100.00	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $173.78	Professional		$67.61	$107.15	$173.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $190.55 / $190.55	Professional		$120.23	$190.55	$190.55