Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $159.15 / $189.63 / $352.58	Professional		$159.15	$189.63	$352.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $207.00 / $207.00 / $264.36	Professional		$207.00	$207.00	$264.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.48 / $292.48 / $292.48	Facility		$292.48	$292.48	$292.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.51 / $213.51 / $292.48	Professional		$213.51	$213.51	$292.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $386.71 / $556.86	Professional		$270.70	$386.71	$556.86
United Facility/Professional Professional Modifier Low / Median / High Price $174.20 / $202.58 / $305.93	Professional		$174.20	$202.58	$305.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $220.22 / $270.70	Professional		$220.22	$220.22	$270.70