Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.60 / $250.98 / $430.90	Professional		$225.60	$250.98	$430.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $335.33 / $335.33 / $376.80	Professional		$335.33	$335.33	$376.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $315.25 / $315.25 / $315.25	Facility		$315.25	$315.25	$315.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.13 / $230.13 / $315.25	Professional		$230.13	$230.13	$315.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $385.85 / $551.21 / $793.74	Professional		$385.85	$551.21	$793.74
United Facility/Professional Professional Modifier Low / Median / High Price $227.48 / $274.99 / $438.33	Professional		$227.48	$274.99	$438.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $302.26 / $385.85	Professional		$52.50	$302.26	$385.85