Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $302.00 / $416.87	Professional		$257.04	$302.00	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $309.03 / $363.08	Professional		$281.84	$309.03	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $446.68 / $562.34	Professional		$208.93	$446.68	$562.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $407.38 / $588.84	Professional		$371.54	$407.38	$588.84
United Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $186.21 / $389.05	Facility		$165.96	$186.21	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $181.97 / $380.19	Professional		$165.96	$181.97	$380.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $257.04 / $588.84	Professional		$199.53	$257.04	$588.84