Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.15 / $174.19 / $238.76	Professional		$137.15	$174.19	$238.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $224.28 / $224.28 / $225.62	Professional		$224.28	$224.28	$225.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.43 / $244.43 / $244.43	Facility		$244.43	$244.43	$244.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $207.77 / $207.77	Professional		$178.43	$207.77	$207.77
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.39 / $298.79 / $358.55	Professional		$232.39	$298.79	$358.55
United Facility/Professional Professional Modifier Low / Median / High Price $132.72 / $177.84 / $283.11	Professional		$132.72	$177.84	$283.11
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.68 / $219.68 / $282.19	Professional		$219.68	$219.68	$282.19