Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.09 / $281.32 / $628.87	Facility		$194.09	$281.32	$628.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.32 / $144.24 / $323.12	Professional		$142.32	$144.24	$323.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.86 / $153.86 / $195.40	Professional		$153.86	$153.86	$195.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $126.53 / $472.42	Professional		$96.21	$126.53	$472.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $192.32 / $230.78 / $288.48	Professional		$192.32	$230.78	$288.48
United Facility/Professional Professional Modifier Low / Median / High Price $80.77 / $104.51 / $159.63	Professional		$80.77	$104.51	$159.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $96.16 / $152.88 / $152.88	Professional		$96.16	$152.88	$152.88