Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.84 / $82.82 / $5,151.06	Facility		$76.84	$82.82	$5,151.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.91 / $133.59 / $323.10	Professional		$71.91	$133.59	$323.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $64.83 / $82.33	Professional		$64.83	$64.83	$82.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $126.71 / $213.45	Professional		$68.50	$126.71	$213.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $162.07 / $275.57	Professional		$117.74	$162.07	$275.57
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $144.69 / $258.45	Professional		$104.87	$144.69	$258.45
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.93 / $132.79 / $159.30	Professional		$77.93	$132.79	$159.30