Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.56 / $189.97 / $297.68	Facility		$136.56	$189.97	$297.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $94.63 / $320.00	Professional		$39.57	$94.63	$320.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.73 / $46.37 / $73.73	Professional		$41.73	$46.37	$73.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $69.44	Facility		$50.00	$50.00	$69.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.64 / $97.34 / $212.73	Professional		$41.64	$97.34	$212.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $84.36 / $140.16 / $207.66	Professional		$84.36	$140.16	$207.66
United Facility/Professional Facility Modifier Low / Median / High Price $71.00 / $100.00 / $598.00	Facility		$71.00	$100.00	$598.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $107.47 / $184.78	Professional		$71.88	$107.47	$184.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.11 / $137.05 / $168.81	Professional		$71.11	$137.05	$168.81