Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.61 / $132.53 / $251.38	Professional		$131.61	$132.53	$251.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $172.00 / $172.00 / $219.83	Professional		$172.00	$172.00	$219.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $196.21 / $196.21 / $196.21	Facility		$196.21	$196.21	$196.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.22 / $143.22 / $196.21	Professional		$143.22	$143.22	$196.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $225.11 / $321.58 / $463.08	Professional		$225.11	$321.58	$463.08
United Facility/Professional Professional Modifier Low / Median / High Price $144.85 / $160.43 / $255.73	Professional		$144.85	$160.43	$255.73
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $181.72 / $181.72 / $225.11	Professional		$181.72	$181.72	$225.11