Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.41 / $137.69 / $552.26	Facility		$94.41	$137.69	$552.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.67 / $23.34 / $46.68	Professional		$17.67	$23.34	$46.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $24.10 / $30.53 / $65.95	Professional		$24.10	$30.53	$65.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.19 / $18.54 / $34.65	Facility		$14.19	$18.54	$34.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.19 / $28.44 / $93.46	Professional		$14.19	$28.44	$93.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.78 / $33.47 / $40.17	Professional		$26.78	$33.47	$40.17
United Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $11.25 / $11.25	Facility		$11.25	$11.25	$11.25
United Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $16.07 / $21.00	Professional		$12.05	$16.07	$21.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.44 / $13.39 / $26.28	Professional		$10.44	$13.39	$26.28