Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $103.14 / $242.70	Facility		$64.00	$103.14	$242.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.63 / $93.00 / $132.25	Professional		$73.63	$93.00	$132.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.10 / $115.10 / $143.88	Professional		$115.10	$115.10	$143.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $104.38 / $171.47	Professional		$75.00	$104.38	$171.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.64 / $105.84 / $143.69	Professional		$71.64	$105.84	$143.69
United Facility/Professional Facility Modifier Low / Median / High Price $70.00 / $91.77 / $122.36	Facility		$70.00	$91.77	$122.36
United Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $105.54 / $166.05	Professional		$80.00	$105.54	$166.05
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.64 / $122.12 / $156.11	Professional		$105.64	$122.12	$156.11