Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $2,398.83 / $4,073.80	Facility		$147.91	$2,398.83	$4,073.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $186.21 / $416.87	Professional		$102.33	$186.21	$416.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $134.90 / $154.88	Professional		$120.23	$134.90	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $162.18 / $295.12	Professional		$114.82	$162.18	$295.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $204.17 / $346.74	Professional		$165.96	$204.17	$346.74
United Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $446.68 / $707.95	Facility		$446.68	$446.68	$707.95
United Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $151.36 / $281.84	Professional		$104.71	$151.36	$281.84
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $186.21 / $288.40	Professional		$128.82	$186.21	$288.40