Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $812.83 / $977.24	Facility		$524.81	$812.83	$977.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $131.83 / $398.11	Professional		$93.33	$131.83	$398.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $100.00 / $131.83	Professional		$91.20	$100.00	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $97.72 / $251.19	Professional		$69.18	$97.72	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $151.36 / $239.88	Professional		$125.89	$151.36	$239.88
United Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $52.48 / $95.50	Facility		$52.48	$52.48	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $112.20 / $199.53	Professional		$75.86	$112.20	$199.53
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $123.03 / $123.03	Professional		$63.10	$123.03	$123.03