Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.33 / $301.33 / $301.33	Facility		$301.33	$301.33	$301.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.54 / $198.26 / $274.91	Professional		$164.54	$198.26	$274.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $209.89 / $211.47 / $241.08	Professional		$209.89	$211.47	$241.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.57 / $166.72 / $649.48	Professional		$130.57	$166.72	$649.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $264.33 / $330.43 / $396.51	Professional		$264.33	$330.43	$396.51
United Facility/Professional Facility Modifier Low / Median / High Price $111.02 / $111.02 / $111.02	Facility		$111.02	$111.02	$111.02
United Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $187.68 / $396.51	Professional		$148.16	$187.68	$396.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.16 / $210.15 / $210.15	Professional		$132.16	$210.15	$210.15