Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $224.92 / $261.52 / $446.47	Professional		$224.92	$261.52	$446.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $286.00 / $286.00 / $364.59	Professional		$286.00	$286.00	$364.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $340.42 / $340.42 / $340.42	Facility		$340.42	$340.42	$340.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $248.51 / $248.51 / $340.42	Professional		$248.51	$248.51	$340.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $373.34 / $533.34 / $768.01	Professional		$373.34	$533.34	$768.01
United Facility/Professional Professional Modifier Low / Median / High Price $240.25 / $280.57 / $421.92	Professional		$240.25	$280.57	$421.92
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $303.77 / $303.77 / $373.34	Professional		$303.77	$303.77	$373.34