Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $446.68 / $575.44	Professional		$223.87	$446.68	$575.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $478.63 / $537.03	Professional		$436.52	$478.63	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $691.83 / $891.25	Professional		$602.56	$691.83	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $251.19 / $457.09	Facility		$125.89	$251.19	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $134.90 / $281.84	Professional		$125.89	$134.90	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00