Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.72 / $6,219.64 / $6,219.64	Facility		$71.72	$6,219.64	$6,219.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.67 / $222.91 / $668.17	Professional		$124.67	$222.91	$668.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.18 / $146.19 / $167.09	Professional		$108.18	$146.19	$167.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.81 / $167.81 / $167.81	Facility		$167.81	$167.81	$167.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.02 / $227.20 / $450.02	Professional		$125.02	$227.20	$450.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $220.08 / $287.93 / $513.97	Professional		$220.08	$287.93	$513.97
United Facility/Professional Professional Modifier Low / Median / High Price $175.29 / $238.81 / $417.47	Professional		$175.29	$238.81	$417.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $168.35 / $256.68 / $316.88	Professional		$168.35	$256.68	$316.88