Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $489.78	Facility		$371.54	$371.54	$489.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $50.12 / $691.83	Professional		$30.20	$50.12	$691.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.02 / $4.27 / $6.31	Professional		$3.02	$4.27	$6.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $467.74	Professional		$239.88	$354.81	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $371.54 / $478.63	Professional		$269.15	$371.54	$478.63
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $60.26 / $87.10	Professional		$44.67	$60.26	$87.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $112.20 / $151.36	Professional		$112.20	$112.20	$151.36