Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $151.36 / $302.00	Facility		$95.50	$151.36	$302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $24.55 / $144.54	Professional		$17.38	$24.55	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $21.38 / $48.98	Professional		$15.49	$21.38	$48.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $18.62 / $34.67	Facility		$14.13	$18.62	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $28.18 / $93.33	Professional		$14.13	$28.18	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $29.51 / $39.81	Professional		$26.92	$29.51	$39.81
United Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $12.59 / $20.89	Facility		$11.22	$12.59	$20.89
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $16.22 / $24.55	Professional		$12.02	$16.22	$24.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $26.30 / $39.81	Professional		$10.47	$26.30	$39.81