Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $114.82 / $190.55	Professional		$97.72	$114.82	$190.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $165.96	Professional		$125.89	$125.89	$165.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $239.88 / $363.08	Professional		$169.82	$239.88	$363.08
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $107.15 / $162.18	Facility		$72.44	$107.15	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $117.49 / $190.55	Professional		$97.72	$117.49	$190.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $204.17	Professional		$128.82	$128.82	$204.17