Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.99 / $147.25 / $223.16	Professional		$113.99	$147.25	$223.16
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $168.28 / $205.28	Professional		$161.00	$168.28	$205.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.64 / $170.64 / $179.00	Facility		$170.64	$170.64	$179.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.57 / $124.57 / $170.64	Professional		$124.57	$124.57	$170.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $195.19 / $300.29 / $432.42	Professional		$195.19	$300.29	$432.42
United Facility/Professional Professional Modifier Low / Median / High Price $122.78 / $154.72 / $237.55	Professional		$122.78	$154.72	$237.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.69 / $162.69 / $209.28	Professional		$162.69	$162.69	$209.28