Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $167.37 / $403.02 / $2,337.16	Facility		$167.37	$403.02	$2,337.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.68 / $134.61 / $367.12	Professional		$65.68	$134.61	$367.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.75 / $78.75 / $86.62	Professional		$78.75	$78.75	$86.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.00 / $339.05 / $451.23	Facility		$330.00	$339.05	$451.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.61 / $136.22 / $278.86	Professional		$71.61	$136.22	$278.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $149.24 / $192.52 / $257.83	Professional		$149.24	$192.52	$257.83
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 $112.28 / $166.71 / $290.01	Professional		$112.28	$166.71	$290.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $171.63 / $212.48	Professional		$134.94	$171.63	$212.48