Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.32 / $296.45 / $435.98	Professional		$279.32	$296.45	$435.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $406.91 / $406.91 / $453.81	Professional		$406.91	$406.91	$453.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.81 / $407.81 / $407.81	Facility		$407.81	$407.81	$407.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $346.64 / $407.81	Professional		$47.24	$346.64	$407.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $497.79 / $586.85 / $780.52	Professional		$497.79	$586.85	$780.52
United Facility/Professional Professional Modifier Low / Median / High Price $223.23 / $305.87 / $461.04	Professional		$223.23	$305.87	$461.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $360.42 / $401.14 / $564.32	Professional		$360.42	$401.14	$564.32