Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.95 / $336.84 / $916.32	Professional		$270.95	$336.84	$916.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $381.00 / $401.05 / $598.16	Professional		$381.00	$401.05	$598.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $386.44 / $386.44 / $386.44	Facility		$386.44	$386.44	$386.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.64 / $402.52 / $686.16	Professional		$282.64	$402.52	$686.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $319.51 / $408.26 / $677.94	Professional		$319.51	$408.26	$677.94
United Facility/Professional Professional Modifier Low / Median / High Price $266.83 / $361.01 / $597.47	Professional		$266.83	$361.01	$597.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $349.76 / $402.22 / $524.64	Professional		$349.76	$402.22	$524.64