Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $371.54	Professional		$190.55	$229.09	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $263.03 / $302.00	Professional		$263.03	$263.03	$302.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Facility		$288.40	$288.40	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $446.68 / $660.69	Professional		$309.03	$446.68	$660.69
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $295.12 / $302.00	Facility		$263.03	$295.12	$302.00
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $223.87 / $346.74	Professional		$194.98	$223.87	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $371.54	Professional		$239.88	$239.88	$371.54