Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.31 / $97.99 / $173.32	Professional		$87.31	$97.99	$173.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $107.00 / $111.99 / $136.61	Professional		$107.00	$111.99	$136.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.35 / $172.35 / $172.35	Facility		$172.35	$172.35	$172.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.82 / $125.82 / $172.35	Professional		$125.82	$125.82	$172.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.88 / $199.83 / $287.76	Professional		$139.88	$199.83	$287.76
United Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $132.91 / $153.62	Facility		$76.81	$132.91	$153.62
United Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $106.50 / $158.08	Professional		$90.01	$106.50	$158.08
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $120.92 / $139.88	Professional		$120.92	$120.92	$139.88