Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $223.87 / $275.42	Facility		$85.11	$223.87	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $85.11 / $213.80	Professional		$83.18	$85.11	$213.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $81.28	Professional		$81.28	$81.28	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $95.50	Professional		$95.50	$95.50	$95.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $123.03 / $194.98	Professional		$112.20	$123.03	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Facility		$85.11	$85.11	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $95.50 / $131.83	Professional		$83.18	$95.50	$131.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90