Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.07 / $271.42 / $479.54	Professional		$251.07	$271.42	$479.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $329.00 / $329.00 / $419.35	Professional		$329.00	$329.00	$419.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $328.44 / $328.44 / $328.44	Facility		$328.44	$328.44	$328.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.76 / $239.76 / $328.44	Professional		$239.76	$239.76	$328.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $429.42 / $613.45 / $883.37	Professional		$429.42	$613.45	$883.37
United Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $306.04 / $487.83	Professional		$237.00	$306.04	$487.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $314.97 / $314.97 / $429.42	Professional		$314.97	$314.97	$429.42