Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.94 / $58.94 / $65.81	Facility		$58.94	$58.94	$65.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.19 / $60.17 / $229.08	Professional		$44.19	$60.17	$229.08
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $57.66	Professional		$57.66	$57.66	$57.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.66 / $57.66 / $85.00	Facility		$57.66	$57.66	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.66 / $57.66 / $73.43	Professional		$57.66	$57.66	$73.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $52.58 / $66.95 / $98.67	Professional		$52.58	$66.95	$98.67
United Facility/Professional Professional Modifier Low / Median / High Price $276.00 / $307.25 / $333.96	Professional		$276.00	$307.25	$333.96
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.32 / $56.32 / $56.32	Professional		$56.32	$56.32	$56.32