Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Facility		$165.96	$165.96	$165.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $354.81 / $812.83	Professional		$165.96	$354.81	$812.83
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $208.93 / $239.88	Professional		$186.21	$208.93	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $223.87 / $512.86	Professional		$151.36	$223.87	$512.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $229.09 / $323.59	Professional		$190.55	$229.09	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $162.18 / $275.42	Facility		$117.49	$162.18	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $194.98 / $346.74	Professional		$134.90	$194.98	$346.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $281.84 / $316.23	Professional		$162.18	$281.84	$316.23