Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.09 / $794.60 / $4,427.88	Facility		$196.09	$794.60	$4,427.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.62 / $249.37 / $492.01	Professional		$155.62	$249.37	$492.01
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $159.65 / $185.44 / $281.87	Professional		$159.65	$185.44	$281.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $376.00 / $1,474.16 / $1,875.56	Facility		$376.00	$1,474.16	$1,875.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $176.19 / $300.00 / $566.04	Professional		$176.19	$300.00	$566.04
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $274.42 / $377.00 / $558.51	Professional		$274.42	$377.00	$558.51
United Facility/Professional Facility Modifier Low / Median / High Price $418.00 / $453.00 / $1,330.00	Facility		$418.00	$453.00	$1,330.00
United Facility/Professional Professional Modifier Low / Median / High Price $224.58 / $319.44 / $596.62	Professional		$224.58	$319.44	$596.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $219.39 / $373.89 / $459.89	Professional		$219.39	$373.89	$459.89