Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.21 / $1,409.01 / $3,605.15	Facility		$247.21	$1,409.01	$3,605.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.40 / $227.84 / $917.13	Professional		$204.40	$227.84	$917.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $223.02 / $228.26 / $290.48	Professional		$223.02	$228.26	$290.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.97 / $285.44 / $648.58	Professional		$205.97	$285.44	$648.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $214.68 / $285.52 / $456.39	Professional		$214.68	$285.52	$456.39
United Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $255.67 / $423.23	Professional		$183.47	$255.67	$423.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $167.77 / $246.88 / $306.80	Professional		$167.77	$246.88	$306.80