Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,106.32 / $4,106.32 / $4,106.32	Facility		$4,106.32	$4,106.32	$4,106.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.05 / $270.95 / $903.62	Professional		$173.05	$270.95	$903.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $170.29 / $189.22 / $263.95	Professional		$170.29	$189.22	$263.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.43 / $209.43 / $209.43	Facility		$209.43	$209.43	$209.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.69 / $290.97 / $560.11	Professional		$167.69	$290.97	$560.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $224.96 / $341.41 / $615.83	Professional		$224.96	$341.41	$615.83
United Facility/Professional Professional Modifier Low / Median / High Price $226.82 / $311.98 / $525.75	Professional		$226.82	$311.98	$525.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $217.41 / $304.36 / $375.56	Professional		$217.41	$304.36	$375.56