Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $116.42 / $168.73 / $233.33	Professional		$116.42	$168.73	$233.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.75 / $148.75 / $182.15	Professional		$148.75	$148.75	$182.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $178.39 / $178.39 / $178.39	Facility		$178.39	$178.39	$178.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.22 / $130.22 / $183.74	Professional		$130.22	$130.22	$183.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.53 / $266.47 / $383.72	Professional		$186.53	$266.47	$383.72
United Facility/Professional Professional Modifier Low / Median / High Price $117.15 / $132.94 / $210.81	Professional		$117.15	$132.94	$210.81
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $169.25 / $169.25 / $186.53	Professional		$169.25	$169.25	$186.53