Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.67 / $289.33 / $483.45	Professional		$236.67	$289.33	$483.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $402.88 / $402.88 / $402.88	Professional		$402.88	$402.88	$402.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $353.55 / $353.55 / $464.03	Facility		$353.55	$353.55	$464.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $300.52 / $300.52 / $422.81	Professional		$300.52	$300.52	$422.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.60 / $436.37 / $561.04	Professional		$329.60	$436.37	$561.04
United Facility/Professional Professional Modifier Low / Median / High Price $232.67 / $308.08 / $486.96	Professional		$232.67	$308.08	$486.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $391.06 / $421.42 / $426.29	Professional		$391.06	$421.42	$426.29