Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.28 / $157.52 / $400.39	Professional		$113.28	$157.52	$400.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.08 / $116.20 / $166.94	Professional		$87.08	$116.20	$166.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.68 / $178.68 / $178.68	Facility		$178.68	$178.68	$178.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.71 / $193.23 / $311.14	Professional		$122.71	$193.23	$311.14
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.55 / $208.12 / $303.30	Professional		$147.55	$208.12	$303.30
United Facility/Professional Professional Modifier Low / Median / High Price $140.30 / $194.82 / $346.32	Professional		$140.30	$194.82	$346.32
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $165.83 / $248.75	Professional		$136.88	$165.83	$248.75