Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.17 / $132.88 / $328.81	Professional		$88.17	$132.88	$328.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $96.00 / $136.96	Professional		$79.43	$96.00	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.94 / $130.94 / $130.94	Facility		$130.94	$130.94	$130.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.53 / $141.77 / $241.82	Professional		$87.53	$141.77	$241.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $118.80 / $167.11 / $230.34	Professional		$118.80	$167.11	$230.34
United Facility/Professional Professional Modifier Low / Median / High Price $95.24 / $137.26 / $223.74	Professional		$95.24	$137.26	$223.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.44 / $137.90 / $206.85	Professional		$99.44	$137.90	$206.85