Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $344.44 / $344.44 / $344.44	Facility		$344.44	$344.44	$344.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.69 / $344.44 / $379.81	Professional		$305.69	$344.44	$379.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $140.44 / $440.61 / $442.52	Professional		$140.44	$440.61	$442.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.46 / $76.47 / $164.91	Professional		$48.46	$76.47	$164.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $59.52 / $80.81 / $147.11	Professional		$59.52	$80.81	$147.11
United Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $373.94 / $1,332.23	Professional		$94.89	$373.94	$1,332.23
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $492.53 / $626.03	Professional		$25.00	$492.53	$626.03