Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $446.68 / $630.96	Professional		$363.08	$446.68	$630.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $416.87 / $467.74	Professional		$371.54	$416.87	$467.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $371.54 / $912.01	Professional		$281.84	$371.54	$912.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $524.81 / $602.56 / $776.25	Professional		$524.81	$602.56	$776.25
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $398.11	Facility		$218.78	$218.78	$398.11
United Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $234.42 / $416.87	Professional		$218.78	$234.42	$416.87
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04