Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $269.15 / $269.15 / $281.84	Facility		$269.15	$269.15	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $346.74	Professional		$169.82	$239.88	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $204.17 / $257.04	Professional		$186.21	$204.17	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $199.53 / $549.54	Professional		$141.25	$199.53	$549.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $309.03 / $389.05	Professional		$257.04	$309.03	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $194.98	Facility		$107.15	$107.15	$194.98
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $147.91 / $229.09	Professional		$107.15	$147.91	$229.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $251.19	Professional		$128.82	$251.19	$251.19