Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $309.03 / $1,000.00	Facility		$112.20	$309.03	$1,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $102.33 / $316.23	Professional		$93.33	$102.33	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $120.23	Professional		$93.33	$93.33	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $100.00	Professional		$79.43	$93.33	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Facility		$93.33	$93.33	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $93.33 / $112.20	Professional		$91.20	$93.33	$112.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20