Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.88 / $207.16 / $334.04	Professional		$164.88	$207.16	$334.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $298.77 / $298.77 / $298.77	Professional		$298.77	$298.77	$298.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $277.45 / $277.45 / $277.45	Facility		$277.45	$277.45	$277.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $202.54 / $202.54 / $277.45	Professional		$202.54	$202.54	$277.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $272.06 / $388.65 / $559.66	Professional		$272.06	$388.65	$559.66
United Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $203.58 / $310.66	Professional		$184.20	$203.58	$310.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $250.17 / $250.17 / $272.06	Professional		$250.17	$250.17	$272.06