Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.01 / $232.15 / $325.16	Professional		$163.01	$232.15	$325.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $245.00 / $318.50 / $318.50	Professional		$245.00	$318.50	$318.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $193.40 / $193.40 / $258.98	Facility		$193.40	$193.40	$258.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.39 / $164.39 / $193.40	Professional		$164.39	$164.39	$193.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.47 / $253.85 / $303.16	Professional		$228.47	$253.85	$303.16
United Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $36.35 / $249.35	Professional		$18.71	$36.35	$249.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.71 / $422.50 / $422.50	Professional		$218.71	$422.50	$422.50