Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5,888.44 / $6,918.31 / $8,317.64	Facility		$5,888.44	$6,918.31	$8,317.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $208.93 / $12,022.64	Professional		$199.53	$208.93	$12,022.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $251.19	Professional		$199.53	$199.53	$251.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $199.53 / $288.40	Professional		$169.82	$199.53	$288.40
United Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $223.87 / $245.47	Professional		$204.17	$223.87	$245.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78