Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $104.38 / $174.52	Professional		$93.83	$104.38	$174.52
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $123.00 / $123.00 / $156.71	Professional		$123.00	$123.00	$156.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.11 / $150.11 / $150.11	Facility		$150.11	$150.11	$150.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $109.58 / $150.11	Professional		$109.58	$109.58	$150.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $229.24 / $330.11	Professional		$160.47	$229.24	$330.11
United Facility/Professional Professional Modifier Low / Median / High Price $92.37 / $114.37 / $182.31	Professional		$92.37	$114.37	$182.31
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $127.42 / $160.47	Professional		$127.42	$127.42	$160.47