Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.59 / $883.33 / $3,124.46	Facility		$128.59	$883.33	$3,124.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.16 / $168.40 / $412.00	Professional		$69.16	$168.40	$412.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.70 / $86.35 / $110.53	Professional		$77.70	$86.35	$110.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.33 / $117.33 / $117.33	Facility		$117.33	$117.33	$117.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.18 / $172.97 / $325.80	Professional		$71.18	$172.97	$325.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $116.69 / $216.22 / $374.88	Professional		$116.69	$216.22	$374.88
United Facility/Professional Professional Modifier Low / Median / High Price $147.94 / $206.98 / $373.78	Professional		$147.94	$206.98	$373.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $136.13 / $191.38 / $237.15	Professional		$136.13	$191.38	$237.15