Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $125.48 / $312.38	Professional		$104.62	$125.48	$312.38
Aetna Facility/Professional Professional Modifier 54 Low / Median / High Price $79.61 / $91.70 / $103.09	Professional	54	$79.61	$91.70	$103.09
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.57 / $140.74 / $154.81	Professional		$125.57	$140.74	$154.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $75.73	Facility		$50.00	$50.00	$75.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $110.83 / $163.02 / $277.76	Professional		$110.83	$163.02	$277.76
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.43 / $169.54 / $226.06	Professional		$131.43	$169.54	$226.06
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.52 / $134.24 / $245.55	Professional		$91.52	$134.24	$245.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $151.13 / $186.78	Professional		$107.74	$151.13	$186.78