Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.95 / $351.04 / $1,176.01	Facility		$73.95	$351.04	$1,176.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $118.59 / $329.70	Professional		$75.23	$118.59	$329.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $109.87 / $132.94	Professional		$94.74	$109.87	$132.94
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.98 / $72.98 / $72.98	Facility		$72.98	$72.98	$72.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.32 / $148.91 / $291.92	Professional		$87.32	$148.91	$291.92
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $138.84 / $179.10 / $295.91	Professional		$138.84	$179.10	$295.91
United Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.16 / $150.85 / $256.39	Professional		$105.16	$150.85	$256.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.18 / $159.66 / $196.80	Professional		$114.18	$159.66	$196.80