Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.45 / $168.36 / $251.46	Professional		$81.45	$168.36	$251.46
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $188.23 / $188.23 / $188.23	Professional		$188.23	$188.23	$188.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.78 / $135.78 / $135.78	Professional		$135.78	$135.78	$135.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.89 / $337.69 / $422.68	Professional		$265.89	$337.69	$422.68
United Facility/Professional Professional Modifier Low / Median / High Price $119.77 / $132.65 / $199.82	Professional		$119.77	$132.65	$199.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $114.18 / $226.02	Professional		$114.18	$114.18	$226.02