Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $163.78 / $249.53	Professional		$128.44	$163.78	$249.53
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $167.00 / $174.90 / $213.35	Professional		$167.00	$174.90	$213.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $265.56 / $265.56 / $265.56	Facility		$265.56	$265.56	$265.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $193.86 / $193.86 / $265.56	Professional		$193.86	$193.86	$265.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $218.46 / $312.08 / $449.41	Professional		$218.46	$312.08	$449.41
United Facility/Professional Professional Modifier Low / Median / High Price $140.59 / $161.06 / $246.90	Professional		$140.59	$161.06	$246.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.30 / $186.30 / $218.46	Professional		$186.30	$186.30	$218.46