Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.99 / $177.99 / $177.99	Facility		$177.99	$177.99	$177.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $194.13 / $245.63	Professional		$172.62	$194.13	$245.63
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $176.62 / $235.19 / $256.36	Professional		$176.62	$235.19	$256.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.94 / $248.56 / $540.53	Professional		$156.94	$248.56	$540.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.76 / $252.05 / $444.02	Professional		$192.76	$252.05	$444.02
United Facility/Professional Professional Modifier Low / Median / High Price $143.90 / $210.23 / $386.51	Professional		$143.90	$210.23	$386.51
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.32 / $176.76 / $287.58	Professional		$162.32	$176.76	$287.58