Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.26 / $115.90 / $218.55	Professional		$115.26	$115.90	$218.55
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $151.00 / $151.00 / $192.51	Professional		$151.00	$151.00	$192.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $185.61 / $185.61 / $185.61	Facility		$185.61	$185.61	$185.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.50 / $135.50 / $185.61	Professional		$135.50	$135.50	$185.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $197.13 / $281.61 / $405.52	Professional		$197.13	$281.61	$405.52
United Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $195.26 / $195.26	Facility		$195.26	$195.26	$195.26
United Facility/Professional Professional Modifier Low / Median / High Price $108.40 / $140.49 / $223.94	Professional		$108.40	$140.49	$223.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $149.53 / $149.53 / $197.13	Professional		$149.53	$149.53	$197.13