Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.50 / $449.74 / $2,502.14	Facility		$85.50	$449.74	$2,502.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.96 / $139.50 / $351.30	Professional		$61.96	$139.50	$351.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $81.59	Professional		$65.90	$65.90	$81.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $350.97	Facility		$330.00	$339.05	$350.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $134.22 / $278.01	Professional		$65.16	$134.22	$278.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.53 / $196.76 / $261.33	Professional		$152.53	$196.76	$261.33
United Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $158.00	Facility		$123.00	$123.00	$158.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.89 / $166.01 / $280.27	Professional		$119.89	$166.01	$280.27
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $141.62 / $175.41 / $215.10	Professional		$141.62	$175.41	$215.10