Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $194.98	Professional		$123.03	$144.54	$194.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $144.54 / $204.17	Professional		$128.82	$144.54	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $223.87 / $223.87	Facility		$223.87	$223.87	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $169.82 / $281.84	Professional		$128.82	$169.82	$281.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $190.55	Professional		$100.00	$125.89	$190.55
United Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $112.20	Facility		$112.20	$112.20	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $158.49 / $263.03	Professional		$114.82	$158.49	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $138.04 / $177.83	Professional		$117.49	$138.04	$177.83