Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.21 / $214.96 / $401.05	Professional		$176.21	$214.96	$401.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $216.00 / $216.00 / $275.69	Professional		$216.00	$216.00	$275.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $260.88 / $260.88 / $260.88	Facility		$260.88	$260.88	$260.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $190.44 / $190.44 / $260.88	Professional		$190.44	$190.44	$260.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $282.30 / $403.29 / $580.74	Professional		$282.30	$403.29	$580.74
United Facility/Professional Professional Modifier Low / Median / High Price $188.63 / $211.26 / $319.05	Professional		$188.63	$211.26	$319.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $244.03 / $244.03 / $321.33	Professional		$244.03	$244.03	$321.33