Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $2,238.72 / $2,398.83	Facility		$72.44	$2,238.72	$2,398.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $158.49 / $380.19	Professional		$81.28	$158.49	$380.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $109.65	Professional		$85.11	$93.33	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $134.90 / $234.42	Professional		$85.11	$134.90	$234.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $173.78 / $295.12	Professional		$131.83	$173.78	$295.12
United Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $371.54 / $426.58	Facility		$371.54	$371.54	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $131.83 / $234.42	Professional		$85.11	$131.83	$234.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $154.88 / $239.88	Professional		$87.10	$154.88	$239.88