Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $184.73 / $211.99	Facility		$143.63	$184.73	$211.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.37 / $22.48 / $23.15	Professional		$20.37	$22.48	$23.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.22 / $27.14 / $33.96	Professional		$22.22	$27.14	$33.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $20.28 / $39.94	Facility		$16.03	$20.28	$39.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.03 / $29.30 / $79.98	Professional		$16.03	$29.30	$79.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $30.86 / $38.58 / $46.29	Professional		$30.86	$38.58	$46.29
United Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $14.07 / $20.05	Professional		$12.96	$14.07	$20.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.04 / $15.43 / $24.53	Professional		$12.04	$15.43	$24.53