Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.62 / $206.62 / $206.62	Facility		$206.62	$206.62	$206.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $276.87	Professional		$206.59	$206.59	$276.87
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $206.62	Professional		$206.59	$206.59	$206.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $263.11	Professional		$206.59	$206.59	$263.11
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $214.57	Professional		$206.59	$206.59	$214.57
United Facility/Professional Professional Modifier Low / Median / High Price $206.59 / $206.59 / $218.99	Professional		$206.59	$206.59	$218.99
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $201.64 / $201.64 / $201.64	Professional		$201.64	$201.64	$201.64