Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.07 / $131.90 / $208.32	Professional		$109.07	$131.90	$208.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $143.00 / $143.00 / $182.18	Professional		$143.00	$143.00	$182.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $175.81 / $175.81 / $191.33	Facility		$175.81	$175.81	$191.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.34 / $128.34 / $175.81	Professional		$128.34	$128.34	$175.81
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $186.56 / $266.51 / $383.77	Professional		$186.56	$266.51	$383.77
United Facility/Professional Professional Modifier Low / Median / High Price $120.05 / $132.96 / $211.93	Professional		$120.05	$132.96	$211.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $159.66 / $186.56	Professional		$75.00	$159.66	$186.56