Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.08 / $617.50 / $3,817.70	Facility		$54.08	$617.50	$3,817.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $113.74 / $246.81	Professional		$69.45	$113.74	$246.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.15 / $80.15 / $92.17	Professional		$80.15	$80.15	$92.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $121.51 / $208.18	Professional		$78.75	$121.51	$208.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.74 / $156.12 / $257.67	Professional		$129.74	$156.12	$257.67
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $375.00	Facility		$375.00	$375.00	$375.00
United Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $129.29 / $241.95	Professional		$94.57	$129.29	$241.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $97.39 / $151.19	Professional		$92.19	$97.39	$151.19