Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $179.20 / $298.14	Professional		$146.88	$179.20	$298.14
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $182.00 / $182.00 / $190.20	Professional		$182.00	$182.00	$190.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $244.07 / $244.07 / $244.07	Facility		$244.07	$244.07	$244.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.17 / $178.17 / $244.07	Professional		$178.17	$178.17	$244.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $237.58 / $339.40 / $488.74	Professional		$237.58	$339.40	$488.74
United Facility/Professional Professional Modifier Low / Median / High Price $158.75 / $191.30 / $268.50	Professional		$158.75	$191.30	$268.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $203.45 / $203.45 / $237.58	Professional		$203.45	$203.45	$237.58