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 $46.31 / $69.84 / $187.19	Professional		$46.31	$69.84	$187.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $58.32 / $74.06	Professional		$54.32	$58.32	$74.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $507.00 / $507.00 / $641.21	Facility		$507.00	$507.00	$641.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.36 / $85.35 / $152.58	Professional		$48.36	$85.35	$152.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $72.11 / $93.02 / $152.97	Professional		$72.11	$93.02	$152.97
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $88.03 / $148.25	Professional		$61.19	$88.03	$148.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.40 / $82.93 / $103.64	Professional		$48.40	$82.93	$103.64