Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $1,698.24 / $1,698.24	Facility		$478.63	$1,698.24	$1,698.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $380.19 / $870.96	Professional		$114.82	$380.19	$870.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $125.89 / $199.53	Professional		$112.20	$125.89	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $602.56 / $851.14	Facility		$380.19	$602.56	$851.14
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $158.49 / $158.49 / $158.49	Facility	52	$158.49	$158.49	$158.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $245.47 / $812.83	Professional		$120.23	$245.47	$812.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $630.96 / $870.96	Professional		$263.03	$630.96	$870.96
United Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $524.81 / $1,318.26	Facility		$416.87	$524.81	$1,318.26
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $218.78 / $891.25	Professional		$112.20	$218.78	$891.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $676.08 / $831.76	Professional		$138.04	$676.08	$831.76