Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.32 / $432.42 / $832.78	Facility		$121.32	$432.42	$832.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $121.33 / $179.56	Professional		$111.49	$121.33	$179.56
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $147.56 / $163.96 / $208.23	Professional		$147.56	$163.96	$208.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.89 / $126.07 / $403.21	Professional		$89.89	$126.07	$403.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $163.96 / $196.75 / $312.83	Professional		$163.96	$196.75	$312.83
United Facility/Professional Facility Modifier Low / Median / High Price $68.86 / $68.86 / $68.86	Facility		$68.86	$68.86	$68.86
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $94.19 / $149.19	Professional		$68.86	$94.19	$149.19
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $81.98 / $160.91 / $160.91	Professional		$81.98	$160.91	$160.91