Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.19 / $285.26 / $534.17	Facility		$165.19	$285.26	$534.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $103.11 / $121.23	Professional		$92.71	$103.11	$121.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.10 / $128.37 / $146.34	Professional		$114.10	$128.37	$146.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.31 / $88.71 / $350.89	Professional		$75.31	$88.71	$350.89
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $171.16 / $213.95	Professional		$142.63	$171.16	$213.95
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $64.18 / $128.37	Professional		$59.90	$64.18	$128.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $71.31 / $71.31 / $71.31	Professional		$71.31	$71.31	$71.31