Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $529.16 / $2,550.12 / $2,550.12	Facility		$529.16	$2,550.12	$2,550.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $131.72 / $353.03	Professional		$74.38	$131.72	$353.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.46 / $92.87 / $118.87	Professional		$83.46	$92.87	$118.87
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 $78.23 / $145.78 / $266.48	Professional		$78.23	$145.78	$266.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $136.34 / $175.88 / $283.13	Professional		$136.34	$175.88	$283.13
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 $108.98 / $164.83 / $261.76	Professional		$108.98	$164.83	$261.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.45 / $156.79 / $195.03	Professional		$78.45	$156.79	$195.03