Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $501.19 / $1,122.02	Facility		$95.50	$501.19	$1,122.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $190.55 / $501.19	Professional		$58.88	$190.55	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $63.10 / $87.10	Professional		$57.54	$63.10	$87.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $97.72 / $302.00	Facility		$97.72	$97.72	$302.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $141.25 / $446.68	Professional		$58.88	$141.25	$446.68
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $281.84 / $380.19	Professional		$77.62	$281.84	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $158.49 / $251.19	Facility		$40.74	$158.49	$251.19
United Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $128.82 / $323.59	Professional		$53.70	$128.82	$323.59
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $275.42 / $398.11	Professional		$57.54	$275.42	$398.11