Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.56 / $213.75 / $306.67	Professional		$160.56	$213.75	$306.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $319.27 / $362.67 / $362.67	Professional		$319.27	$362.67	$362.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $278.88 / $278.88 / $382.03	Professional		$278.88	$278.88	$382.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $328.86 / $493.29	Professional		$230.20	$328.86	$493.29
United Facility/Professional Professional Modifier Low / Median / High Price $222.29 / $280.81 / $447.61	Professional		$222.29	$280.81	$447.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $230.20 / $311.77 / $311.77	Professional		$230.20	$311.77	$311.77