Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.36 / $212.36 / $212.36	Facility		$212.36	$212.36	$212.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $271.82	Professional		$213.84	$213.84	$271.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $212.36 / $212.36 / $213.84	Professional		$212.36	$212.36	$213.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $272.33	Professional		$213.84	$213.84	$272.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $218.70	Professional		$213.84	$213.84	$218.70
United Facility/Professional Professional Modifier Low / Median / High Price $213.84 / $213.84 / $226.67	Professional		$213.84	$213.84	$226.67
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $209.89 / $209.89 / $209.89	Professional		$209.89	$209.89	$209.89