Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.82 / $504.41 / $2,120.13	Facility		$51.82	$504.41	$2,120.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $130.93 / $289.54	Professional		$86.56	$130.93	$289.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $104.15 / $119.77	Professional		$104.10	$104.15	$119.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.52 / $139.16 / $237.15	Professional		$102.52	$139.16	$237.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.03 / $175.96 / $286.36	Professional		$147.03	$175.96	$286.36
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 $104.72 / $144.51 / $301.00	Professional		$104.72	$144.51	$301.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.07 / $121.02 / $169.99	Professional		$107.07	$121.02	$169.99