Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $288.40 / $478.63	Facility		$67.61	$288.40	$478.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $63.10 / $239.88	Professional		$48.98	$63.10	$239.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $56.23 / $77.62	Professional		$50.12	$56.23	$77.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $54.95 / $141.25	Professional		$38.02	$54.95	$141.25
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $81.28 / $104.71	Professional		$70.79	$81.28	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $29.51 / $53.70	Facility		$29.51	$29.51	$53.70
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $63.10	Professional		$29.51	$40.74	$63.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Professional		$69.18	$69.18	$69.18