Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.20 / $189.62 / $1,892.14	Facility		$49.20	$189.62	$1,892.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.60 / $125.70 / $335.00	Professional		$62.60	$125.70	$335.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $96.84 / $103.40 / $118.91	Professional		$96.84	$103.40	$118.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.82 / $149.21 / $255.57	Professional		$100.82	$149.21	$255.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $160.74 / $191.79 / $313.83	Professional		$160.74	$191.79	$313.83
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.97 / $151.16 / $287.58	Professional		$112.97	$151.16	$287.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $118.05 / $118.83 / $185.87	Professional		$118.05	$118.83	$185.87