Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.09 / $194.61 / $306.38	Professional		$152.09	$194.61	$306.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $196.00 / $196.00 / $249.58	Professional		$196.00	$196.00	$249.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.64 / $274.64 / $274.64	Facility		$274.64	$274.64	$274.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.49 / $200.49 / $274.64	Professional		$200.49	$200.49	$274.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $255.57 / $365.10 / $525.74	Professional		$255.57	$365.10	$525.74
United Facility/Professional Professional Modifier Low / Median / High Price $170.77 / $182.34 / $288.83	Professional		$170.77	$182.34	$288.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.97 / $220.97 / $255.57	Professional		$220.97	$220.97	$255.57