Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.72 / $284.80 / $1,218.26	Facility		$160.72	$284.80	$1,218.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.30 / $138.90 / $312.45	Professional		$96.30	$138.90	$312.45
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $148.16 / $148.16 / $168.90	Professional		$148.16	$148.16	$168.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.78 / $115.17 / $455.52	Professional		$97.78	$115.17	$455.52
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $222.24 / $277.80	Professional		$185.20	$222.24	$277.80
United Facility/Professional Professional Modifier Low / Median / High Price $77.78 / $85.19 / $168.53	Professional		$77.78	$85.19	$168.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.60 / $147.22 / $147.22	Professional		$92.60	$147.22	$147.22