Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.35 / $149.35 / $4,652.39	Facility		$149.35	$149.35	$4,652.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.75 / $161.47 / $379.19	Professional		$141.75	$161.47	$379.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $180.92 / $229.77	Professional		$162.82	$180.92	$229.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.76 / $135.76 / $135.76	Facility		$135.76	$135.76	$135.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.36 / $170.85 / $342.74	Professional		$123.36	$170.85	$342.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $158.12 / $194.84 / $295.88	Professional		$158.12	$194.84	$295.88
United Facility/Professional Professional Modifier Low / Median / High Price $107.04 / $166.03 / $299.70	Professional		$107.04	$166.03	$299.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $184.07 / $241.70	Professional		$123.70	$184.07	$241.70