Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.03 / $126.96 / $149.38	Facility		$112.03	$126.96	$149.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.62 / $95.08 / $124.39	Professional		$67.62	$95.08	$124.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.43 / $80.43 / $80.43	Professional		$80.43	$80.43	$80.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.43 / $177.90 / $208.11	Professional		$111.43	$177.90	$208.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.33 / $151.97 / $198.23	Professional		$112.33	$151.97	$198.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $95.09 / $201.00	Professional		$61.95	$95.09	$201.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $132.15 / $132.15 / $151.97	Professional		$132.15	$132.15	$151.97