Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $2,041.74 / $3,311.31	Facility		$107.15	$2,041.74	$3,311.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $141.25 / $371.54	Professional		$70.79	$141.25	$371.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $107.15	Professional		$83.18	$91.20	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $120.23 / $213.80	Professional		$75.86	$120.23	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $257.04	Professional		$120.23	$154.88	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $112.20 / $204.17	Professional		$69.18	$112.20	$204.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $213.80	Professional		$87.10	$134.90	$213.80