Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $192.87 / $225.96 / $407.24	Professional		$192.87	$225.96	$407.24
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $253.00 / $253.00 / $322.14	Professional		$253.00	$253.00	$322.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $214.12 / $381.09	Professional		$214.12	$214.12	$381.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $329.87 / $471.24 / $678.59	Professional		$329.87	$471.24	$678.59
United Facility/Professional Professional Modifier Low / Median / High Price $196.42 / $235.10 / $374.75	Professional		$196.42	$235.10	$374.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $260.98 / $329.87	Professional		$45.00	$260.98	$329.87