Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.72 / $746.40 / $2,967.56	Facility		$54.72	$746.40	$2,967.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $211.06 / $335.55 / $849.25	Professional		$211.06	$335.55	$849.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $238.00 / $283.11 / $313.37	Professional		$238.00	$283.11	$313.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,621.87 / $1,621.87 / $1,621.87	Facility		$1,621.87	$1,621.87	$1,621.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.08 / $359.45 / $745.92	Professional		$228.08	$359.45	$745.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $334.32 / $444.65 / $766.08	Professional		$334.32	$444.65	$766.08
United Facility/Professional Professional Modifier Low / Median / High Price $278.97 / $413.53 / $787.90	Professional		$278.97	$413.53	$787.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $273.02 / $384.47 / $470.46	Professional		$273.02	$384.47	$470.46