Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $316.23 / $562.34	Facility		$194.98	$316.23	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $194.98 / $436.52	Professional		$169.82	$194.98	$436.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $208.93 / $234.42	Professional		$190.55	$208.93	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $173.78 / $467.74	Professional		$141.25	$173.78	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $316.23 / $398.11	Professional		$263.03	$316.23	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $199.53	Facility		$109.65	$109.65	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $123.03 / $218.78	Professional		$107.15	$123.03	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $208.93 / $208.93	Professional		$131.83	$208.93	$208.93