Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.29 / $315.29 / $315.29	Facility		$315.29	$315.29	$315.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $68.56 / $82.73	Professional		$46.25	$68.56	$82.73
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $51.44 / $59.16	Professional		$48.46	$51.44	$59.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.29 / $77.56 / $127.39	Professional		$46.29	$77.56	$127.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $95.85 / $175.78	Professional		$75.86	$95.85	$175.78
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 $63.07 / $77.62 / $139.72	Professional		$63.07	$77.62	$139.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $53.20 / $63.81 / $95.85	Professional		$53.20	$63.81	$95.85