Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.14 / $206.98 / $333.21	Facility		$122.14	$206.98	$333.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.16 / $19.42 / $20.02	Professional		$16.16	$19.42	$20.02
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $16.80 / $21.30	Professional		$9.27	$16.80	$21.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.91 / $17.54 / $34.54	Facility		$11.91	$17.54	$34.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.16 / $18.92 / $38.72	Professional		$12.16	$18.92	$38.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $33.36 / $40.04	Professional		$26.69	$33.36	$40.04
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $12.54 / $18.89	Professional		$6.17	$12.54	$18.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.41 / $13.35 / $21.22	Professional		$10.41	$13.35	$21.22