Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $254.90 / $254.90 / $254.90	Facility		$254.90	$254.90	$254.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $16.57 / $23.35	Professional		$7.46	$16.57	$23.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $8.44 / $8.44 / $13.42	Professional		$8.44	$8.44	$13.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $13.13 / $13.13	Facility		$13.13	$13.13	$13.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $20.55 / $35.47	Professional		$8.26	$20.55	$35.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.53 / $34.25	Professional		$19.05	$25.53	$34.25
United Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $23.14 / $44.33	Professional		$16.55	$23.14	$44.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $18.23 / $31.60	Professional		$10.21	$18.23	$31.60