Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $215.53 / $323.30	Professional		$168.45	$215.53	$323.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $270.19 / $270.19 / $276.42	Professional		$270.19	$270.19	$276.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.68 / $252.68 / $252.68	Facility		$252.68	$252.68	$252.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.10 / $194.10 / $252.68	Professional		$194.10	$194.10	$252.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $283.06 / $404.37 / $582.29	Professional		$283.06	$404.37	$582.29
United Facility/Professional Professional Modifier Low / Median / High Price $182.15 / $205.77 / $319.89	Professional		$182.15	$205.77	$319.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.86 / $244.69 / $283.06	Professional		$242.86	$244.69	$283.06