Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $617.44 / $617.44 / $645.87	Facility		$617.44	$617.44	$645.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $43.50 / $71.59	Professional		$38.28	$43.50	$71.59
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.98 / $56.70 / $85.68	Professional		$46.98	$56.70	$85.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.48 / $71.04 / $83.12	Professional		$66.48	$71.04	$83.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $58.00 / $72.50 / $87.00	Professional		$58.00	$72.50	$87.00
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $34.79 / $44.10	Professional		$26.10	$34.79	$44.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.62 / $29.00 / $56.92	Professional		$22.62	$29.00	$56.92