Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $407.38 / $478.63	Facility		$75.86	$407.38	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $309.03 / $1,621.81	Professional		$75.86	$309.03	$1,621.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $123.03	Professional		$93.33	$102.33	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $338.84 / $891.25	Professional		$89.13	$338.84	$891.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $446.68 / $851.14	Professional		$338.84	$446.68	$851.14
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $251.19 / $870.96	Professional		$77.62	$251.19	$870.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $501.19 / $616.60	Professional		$380.19	$501.19	$616.60