Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.10 / $704.01 / $966.53	Facility		$107.10	$704.01	$966.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.12 / $116.00 / $562.00	Professional		$89.12	$116.00	$562.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.69 / $144.74 / $201.90	Professional		$106.69	$144.74	$201.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.02 / $117.02 / $117.02	Facility		$117.02	$117.02	$117.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.32 / $147.30 / $314.02	Professional		$105.32	$147.30	$314.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $139.58 / $167.50 / $252.45	Professional		$139.58	$167.50	$252.45
United Facility/Professional Professional Modifier Low / Median / High Price $101.77 / $150.58 / $344.63	Professional		$101.77	$150.58	$344.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $150.10 / $185.58	Professional		$76.59	$150.10	$185.58