Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.47 / $86.32 / $9,015.61	Facility		$78.47	$86.32	$9,015.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $116.92	Professional		$78.37	$78.37	$116.92
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.47 / $78.47	Professional		$78.37	$78.47	$78.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.09 / $77.09 / $85.00	Facility		$77.09	$77.09	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $92.42	Professional		$78.37	$78.37	$92.42
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $66.61 / $78.37 / $90.34	Professional		$66.61	$78.37	$90.34
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $87.24 / $94.83	Professional		$78.37	$87.24	$94.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.09 / $77.09 / $105.93	Professional		$77.09	$77.09	$105.93