Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.90 / $474.93 / $474.93	Facility		$60.90	$474.93	$474.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.90 / $63.58 / $84.04	Professional		$60.90	$63.58	$84.04
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.54 / $77.54 / $120.00	Professional		$77.54	$77.54	$120.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.64 / $84.89 / $188.83	Professional		$55.64	$84.89	$188.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $92.79 / $141.15	Professional		$71.93	$92.79	$141.15
United Facility/Professional Facility Modifier Low / Median / High Price $104.98 / $104.98 / $104.98	Facility		$104.98	$104.98	$104.98
United Facility/Professional Professional Modifier Low / Median / High Price $51.16 / $69.47 / $126.60	Professional		$51.16	$69.47	$126.60
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.72 / $104.13	Professional		$57.54	$82.72	$104.13