Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.68 / $799.20 / $3,734.31	Facility		$164.68	$799.20	$3,734.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $181.37 / $441.36	Professional		$134.68	$181.37	$441.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $146.49 / $160.27 / $184.31	Professional		$146.49	$160.27	$184.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.54 / $217.50 / $378.50	Professional		$158.54	$217.50	$378.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $232.81 / $276.69 / $455.55	Professional		$232.81	$276.69	$455.55
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.21 / $220.66 / $419.80	Professional		$164.21	$220.66	$419.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.86 / $184.45 / $270.02	Professional		$173.86	$184.45	$270.02