Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $5,399.17 / $9,913.58	Facility		$107.20	$5,399.17	$9,913.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.75 / $89.34 / $90.23	Professional		$74.75	$89.34	$90.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $58.40 / $58.40 / $89.35	Professional		$58.40	$58.40	$89.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $113.79	Professional		$89.34	$89.34	$113.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $89.34 / $577.62	Professional		$89.34	$89.34	$577.62
United Facility/Professional Professional Modifier Low / Median / High Price $89.34 / $94.70 / $131.22	Professional		$89.34	$94.70	$131.22
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.98 / $19.98 / $19.98	Professional		$19.98	$19.98	$19.98