Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.62 / $148.62 / $148.62	Facility		$148.62	$148.62	$148.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.62 / $161.60 / $263.47	Professional		$148.62	$161.60	$263.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $194.83 / $265.75 / $300.72	Professional		$194.83	$265.75	$300.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.13 / $224.58 / $412.46	Professional		$111.13	$224.58	$412.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $153.36 / $382.81	Professional		$127.80	$153.36	$382.81
United Facility/Professional Professional Modifier Low / Median / High Price $172.81 / $226.30 / $416.17	Professional		$172.81	$226.30	$416.17
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $127.80 / $146.97 / $182.13	Professional		$127.80	$146.97	$182.13