Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $97.87 / $170.59	Professional		$78.06	$97.87	$170.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $145.08 / $145.08 / $145.08	Professional		$145.08	$145.08	$145.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $97.30 / $137.96	Professional		$97.30	$97.30	$137.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.37 / $147.04 / $186.18	Professional		$114.37	$147.04	$186.18
United Facility/Professional Professional Modifier Low / Median / High Price $87.07 / $102.26 / $166.66	Professional		$87.07	$102.26	$166.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.87 / $140.30 / $140.30	Professional		$138.87	$140.30	$140.30