Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.03 / $1,176.30 / $5,262.98	Facility		$251.03	$1,176.30	$5,262.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $180.24 / $261.60 / $556.01	Professional		$180.24	$261.60	$556.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $180.74 / $200.82 / $230.94	Professional		$180.74	$200.82	$230.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $196.96 / $284.56 / $507.05	Professional		$196.96	$284.56	$507.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $305.76 / $351.05 / $618.67	Professional		$305.76	$351.05	$618.67
United Facility/Professional Facility Modifier Low / Median / High Price $375.00 / $375.00 / $3,240.48	Facility		$375.00	$375.00	$3,240.48
United Facility/Professional Professional Modifier Low / Median / High Price $228.57 / $298.70 / $561.96	Professional		$228.57	$298.70	$561.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $229.02 / $239.60 / $353.21	Professional		$229.02	$239.60	$353.21