Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $295.12 / $416.87 / $912.01	Facility		$295.12	$416.87	$912.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $295.12 / $389.05	Professional		$229.09	$295.12	$389.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $257.04 / $288.40	Professional		$234.42	$257.04	$288.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $199.53 / $575.44	Professional		$177.83	$199.53	$575.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $323.59 / $389.05 / $489.78	Professional		$323.59	$389.05	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $245.47	Facility		$134.90	$134.90	$245.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $147.91 / $263.03	Professional		$134.90	$147.91	$263.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $257.04 / $257.04	Professional		$162.18	$257.04	$257.04