Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $204.17 / $758.58	Facility		$204.17	$204.17	$758.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $12.02 / $38.90	Professional		$6.03	$12.02	$38.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $6.31 / $7.94	Professional		$5.62	$6.31	$7.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $12.30 / $21.88	Professional		$6.76	$12.30	$21.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $16.98 / $29.51	Professional		$12.88	$16.98	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $151.36 / $151.36	Facility		$128.82	$151.36	$151.36
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $13.18 / $25.12	Professional		$6.92	$13.18	$25.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $15.14 / $23.44	Professional		$7.08	$15.14	$23.44