Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $114.29 / $114.29 / $114.29	Facility		$114.29	$114.29	$114.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $122.85 / $813.66	Professional		$113.32	$122.85	$813.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $155.12 / $172.36 / $515.00	Professional		$155.12	$172.36	$515.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $669.27 / $669.27 / $669.27	Facility		$669.27	$669.27	$669.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.32 / $203.98 / $570.05	Professional		$102.32	$203.98	$570.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $170.64 / $286.06	Professional		$132.28	$170.64	$286.06
United Facility/Professional Professional Modifier Low / Median / High Price $123.60 / $194.72 / $380.12	Professional		$123.60	$194.72	$380.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.82 / $143.03 / $188.93	Professional		$105.82	$143.03	$188.93