Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.63 / $125.27 / $3,248.35	Facility		$96.63	$125.27	$3,248.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $113.23 / $236.62	Professional		$54.27	$113.23	$236.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $61.24 / $61.24 / $74.73	Professional		$61.24	$61.24	$74.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $115.94 / $196.71	Professional		$57.32	$115.94	$196.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.53 / $143.18 / $250.85	Professional		$106.53	$143.18	$250.85
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 $101.02 / $124.37 / $216.00	Professional		$101.02	$124.37	$216.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $105.34 / $144.13	Professional		$64.25	$105.34	$144.13