Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $94.38 / $495.72	Facility		$41.91	$94.38	$495.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional		$56.88	$80.09	$95.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $91.54 / $114.54	Professional		$82.39	$91.54	$114.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.36 / $72.48 / $148.08	Facility		$38.36	$72.48	$148.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $149.53	Professional		$38.36	$60.16	$149.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.43 / $143.04 / $171.65	Professional		$114.43	$143.04	$171.65
United Facility/Professional Professional Modifier Low / Median / High Price $33.57 / $51.49 / $74.38	Professional		$33.57	$51.49	$74.38
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $41.00 / $90.97	Professional		$31.98	$41.00	$90.97