Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.87 / $151.38 / $242.77	Professional		$114.87	$151.38	$242.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $222.06 / $222.06 / $222.06	Professional		$222.06	$222.06	$222.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.96 / $160.96 / $215.49	Facility		$160.96	$160.96	$215.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.82 / $136.82 / $197.85	Professional		$136.82	$136.82	$197.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.35 / $213.54 / $276.36	Professional		$157.35	$213.54	$276.36
United Facility/Professional Professional Modifier Low / Median / High Price $125.95 / $151.87 / $240.12	Professional		$125.95	$151.87	$240.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $191.06 / $193.50 / $195.51	Professional		$191.06	$193.50	$195.51