Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $154.88 / $323.59	Professional		$89.13	$154.88	$323.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $91.20 / $138.04	Professional		$75.86	$91.20	$138.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $131.83 / $223.87	Professional		$91.20	$131.83	$223.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $154.88 / $213.80	Professional		$95.50	$154.88	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $89.13 / $131.83	Facility		$61.66	$89.13	$131.83
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $125.89 / $208.93	Professional		$85.11	$125.89	$208.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $138.04 / $204.17	Professional		$100.00	$138.04	$204.17