Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.78 / $164.75 / $575.67	Professional		$115.78	$164.75	$575.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $18.37 / $29.24	Professional		$18.37	$18.37	$29.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.58 / $208.58 / $248.86	Facility		$208.58	$208.58	$248.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.96 / $183.96 / $183.96	Professional		$183.96	$183.96	$183.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $279.93 / $386.92	Professional		$219.86	$279.93	$386.92
United Facility/Professional Professional Modifier Low / Median / High Price $215.05 / $215.05 / $220.45	Professional		$215.05	$215.05	$220.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.41 / $20.41 / $20.41	Professional		$20.41	$20.41	$20.41