Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,884.03	Facility		$2,238.72	$2,238.72	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $204.17 / $645.65	Professional		$112.20	$204.17	$645.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $128.82 / $158.49	Professional		$117.49	$128.82	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $194.98 / $331.13	Professional		$123.03	$194.98	$331.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $281.84 / $426.58	Professional		$213.80	$281.84	$426.58
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 $117.49 / $190.55 / $346.74	Professional		$117.49	$190.55	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $251.19 / $389.05	Professional		$128.82	$251.19	$389.05