Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.65 / $195.99 / $472.95	Facility		$82.65	$195.99	$472.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.32 / $150.74 / $530.11	Professional		$101.32	$150.74	$530.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.35 / $122.92 / $159.05	Professional		$122.35	$122.92	$159.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $184.77 / $427.63	Professional		$113.32	$184.77	$427.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $157.15 / $202.72 / $351.70	Professional		$157.15	$202.72	$351.70
United Facility/Professional Professional Modifier Low / Median / High Price $149.26 / $222.17 / $364.10	Professional		$149.26	$222.17	$364.10
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $180.72 / $180.72 / $225.06	Professional		$180.72	$180.72	$225.06