Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.30 / $196.65 / $298.60	Professional		$156.30	$196.65	$298.60
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $204.00 / $204.00 / $259.62	Professional		$204.00	$204.00	$259.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $271.68 / $271.68 / $271.68	Facility		$271.68	$271.68	$271.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $198.33 / $198.33 / $271.68	Professional		$198.33	$198.33	$271.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $379.78 / $546.88	Professional		$265.85	$379.78	$546.88
United Facility/Professional Professional Modifier Low / Median / High Price $171.07 / $199.79 / $300.44	Professional		$171.07	$199.79	$300.44
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $204.26 / $204.26 / $265.85	Professional		$204.26	$204.26	$265.85