Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.95 / $615.25 / $5,245.61	Facility		$55.95	$615.25	$5,245.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.25 / $378.87 / $927.48	Professional		$167.25	$378.87	$927.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $215.83 / $215.83 / $334.54	Professional		$215.83	$215.83	$334.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,698.07 / $1,698.07 / $1,698.07	Facility		$1,698.07	$1,698.07	$1,698.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.53 / $366.70 / $774.82	Professional		$175.53	$366.70	$774.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $378.37 / $488.10 / $863.15	Professional		$378.37	$488.10	$863.15
United Facility/Professional Professional Modifier Low / Median / High Price $323.33 / $458.63 / $915.29	Professional		$323.33	$458.63	$915.29
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $307.64 / $435.13 / $539.97	Professional		$307.64	$435.13	$539.97