Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1.00 / $2,570.40 / $4,677.35	Facility		$1.00	$2,570.40	$4,677.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $295.12 / $812.83	Professional		$169.82	$295.12	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $724.44	Professional		$165.96	$186.21	$724.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $251.19 / $467.74	Professional		$158.49	$251.19	$467.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $173.78 / $309.03	Professional		$151.36	$173.78	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $229.09 / $346.74	Professional		$154.88	$229.09	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $223.87	Professional		$173.78	$194.98	$223.87