Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.78 / $94.78 / $165.54	Facility		$94.78	$94.78	$165.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.27 / $262.66 / $501.40	Professional		$162.27	$262.66	$501.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $193.10 / $193.10 / $260.00	Professional		$193.10	$193.10	$260.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.61 / $230.04 / $510.57	Professional		$152.61	$230.04	$510.57
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $188.70 / $255.79 / $374.10	Professional		$188.70	$255.79	$374.10
United Facility/Professional Professional Modifier Low / Median / High Price $134.97 / $196.33 / $338.10	Professional		$134.97	$196.33	$338.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $228.03 / $285.20	Professional		$158.63	$228.03	$285.20