Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $200.15 / $304.79	Professional		$134.88	$200.15	$304.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $264.87 / $304.47 / $304.47	Professional		$264.87	$304.47	$304.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $301.51 / $301.51 / $301.51	Facility		$301.51	$301.51	$301.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.10 / $220.10 / $301.51	Professional		$220.10	$220.10	$301.51
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.97 / $272.81 / $409.22	Professional		$190.97	$272.81	$409.22
United Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $245.92 / $384.42	Professional		$190.50	$245.92	$384.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $267.19 / $267.19	Professional		$150.00	$267.19	$267.19