Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $1,380.38 / $5,011.87	Facility		$1.00	$1,380.38	$5,011.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $151.36 / $426.58	Professional		$60.26	$151.36	$426.58
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $70.79 / $151.36	Professional		$63.10	$70.79	$151.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Facility		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $323.59	Professional		$66.07	$162.18	$323.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $309.03	Professional		$154.88	$204.17	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $426.58 / $426.58	Facility		$426.58	$426.58	$426.58
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $141.25 / $288.40	Professional		$61.66	$141.25	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $257.04	Professional		$134.90	$229.09	$257.04