Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.17 / $602.56 / $1,071.52	Facility		$204.17	$602.56	$1,071.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $47.86 / $107.15	Professional		$38.02	$47.86	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $40.74 / $45.71	Professional		$37.15	$40.74	$45.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $93.33	Professional		$28.18	$36.31	$93.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $77.62	Professional		$51.29	$58.88	$77.62
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $38.90	Facility		$21.38	$21.38	$38.90
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $45.71	Professional		$21.38	$26.92	$45.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $50.12 / $50.12	Professional		$25.70	$50.12	$50.12