Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $467.74	Professional		$112.20	$194.98	$467.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $223.87 / $346.74	Professional		$213.80	$223.87	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $162.18 / $275.42	Professional		$120.23	$162.18	$275.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $144.54 / $239.88	Professional		$107.15	$144.54	$239.88
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 $117.49 / $158.49 / $257.04	Professional		$117.49	$158.49	$257.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $213.80	Professional		$147.91	$147.91	$213.80