Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.32 / $354.31 / $2,464.64	Facility		$58.32	$354.31	$2,464.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.79 / $132.65 / $241.58	Professional		$85.79	$132.65	$241.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $102.97 / $102.97 / $130.77	Professional		$102.97	$102.97	$130.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.97 / $149.22 / $246.52	Professional		$86.97	$149.22	$246.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.09 / $202.74 / $365.31	Professional		$149.09	$202.74	$365.31
United Facility/Professional Facility Modifier Low / Median / High Price $450.00 / $450.00 / $450.00	Facility		$450.00	$450.00	$450.00
United Facility/Professional Professional Modifier Low / Median / High Price $129.34 / $160.01 / $278.89	Professional		$129.34	$160.01	$278.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $99.83 / $132.51 / $188.47	Professional		$99.83	$132.51	$188.47