Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.94 / $101.79 / $131.38	Professional		$91.94	$101.79	$131.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $133.16 / $206.40	Professional		$129.44	$133.16	$206.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.35 / $530.45 / $1,158.00	Facility		$116.35	$530.45	$1,158.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.71 / $122.97 / $210.59	Professional		$93.71	$122.97	$210.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.72 / $116.53 / $167.47	Professional		$91.72	$116.53	$167.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.43 / $111.81 / $178.53	Professional		$83.43	$111.81	$178.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $109.40 / $140.27	Professional		$80.31	$109.40	$140.27