Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $501.19 / $501.19 / $501.19	Facility		$501.19	$501.19	$501.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $107.15 / $154.88	Professional		$93.33	$107.15	$154.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $97.72 / $107.15	Professional		$87.10	$97.72	$107.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $112.20 / $151.36	Facility		$72.44	$112.20	$151.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.49 / $204.17	Professional		$81.28	$117.49	$204.17
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $109.65 / $151.36	Professional		$91.20	$109.65	$151.36
United Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $112.20 / $194.98	Professional		$72.44	$112.20	$194.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $162.18	Professional		$87.10	$123.03	$162.18