Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.40 / $552.13 / $1,819.19	Facility		$137.40	$552.13	$1,819.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $239.84 / $816.80	Professional		$101.14	$239.84	$816.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $118.86 / $133.12	Professional		$117.76	$118.86	$133.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $350.97 / $507.00 / $641.21	Facility		$350.97	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $231.33 / $501.85	Professional		$107.02	$231.33	$501.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $267.25 / $346.07 / $526.10	Professional		$267.25	$346.07	$526.10
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 $119.47 / $253.26 / $474.79	Professional		$119.47	$253.26	$474.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $246.43 / $308.51 / $381.78	Professional		$246.43	$308.51	$381.78