Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.21 / $143.10 / $194.48	Professional		$107.21	$143.10	$194.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $753.48 / $753.48 / $753.48	Professional		$753.48	$753.48	$753.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $147.10 / $147.10 / $220.65	Facility		$147.10	$147.10	$220.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.38 / $125.04 / $125.04	Professional		$107.38	$125.04	$125.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $328.36 / $328.36 / $328.36	Professional		$328.36	$328.36	$328.36
United Facility/Professional Professional Modifier Low / Median / High Price $11.78 / $17.23 / $77.02	Professional		$11.78	$17.23	$77.02
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.79 / $31.79 / $164.86	Professional		$31.79	$31.79	$164.86