Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.36 / $140.36 / $140.36	Facility		$140.36	$140.36	$140.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $988.51 / $1,128.31	Professional		$150.65	$988.51	$1,128.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $184.20 / $204.67 / $624.94	Professional		$184.20	$204.67	$624.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.68 / $431.33 / $795.70	Professional		$257.68	$431.33	$795.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $164.20 / $211.82 / $354.68	Professional		$164.20	$211.82	$354.68
United Facility/Professional Professional Modifier Low / Median / High Price $150.65 / $236.74 / $469.01	Professional		$150.65	$236.74	$469.01
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $177.34 / $230.54	Professional		$131.36	$177.34	$230.54