Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.26 / $909.26 / $2,401.01	Facility		$909.26	$909.26	$2,401.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.19 / $135.68 / $351.66	Professional		$68.19	$135.68	$351.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.81 / $77.81 / $95.29	Professional		$77.81	$77.81	$95.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $115.72 / $204.86	Professional		$64.45	$115.72	$204.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $120.31 / $162.19 / $315.55	Professional		$120.31	$162.19	$315.55
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 $107.44 / $135.91 / $255.69	Professional		$107.44	$135.91	$255.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $109.10 / $152.02	Professional		$74.06	$109.10	$152.02