Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $194.65 / $252.47 / $400.35	Professional		$194.65	$252.47	$400.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $284.50 / $284.50 / $348.36	Professional		$284.50	$284.50	$348.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.54 / $274.54 / $274.54	Facility		$274.54	$274.54	$274.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.41 / $200.41 / $200.41	Professional		$200.41	$200.41	$200.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $356.72 / $509.60 / $733.82	Professional		$356.72	$509.60	$733.82
United Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $266.95 / $403.15	Professional		$217.07	$266.95	$403.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $263.30 / $263.30 / $356.72	Professional		$263.30	$263.30	$356.72