Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $162.18 / $204.17	Professional		$131.83	$162.18	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $151.36 / $177.83	Professional		$95.50	$151.36	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $194.98 / $251.19	Facility		$194.98	$194.98	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $190.55 / $363.08	Professional		$128.82	$190.55	$363.08
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $186.21 / $251.19	Professional		$165.96	$186.21	$251.19
United Facility/Professional Facility Modifier Low / Median / High Price $44.67 / $97.72 / $154.88	Facility		$44.67	$97.72	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $169.82 / $288.40	Professional		$123.03	$169.82	$288.40
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $51.29 / $51.29	Professional		$51.29	$51.29	$51.29