Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.18 / $76.18 / $10,042.01	Facility		$76.18	$76.18	$10,042.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $75.78 / $124.94	Professional		$75.03	$75.78	$124.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $76.18 / $76.18	Professional		$75.03	$76.18	$76.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.05 / $77.05 / $105.97	Facility		$77.05	$77.05	$105.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.02 / $75.02 / $95.55	Professional		$75.02	$75.02	$95.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.78 / $75.03 / $112.27	Professional		$63.78	$75.03	$112.27
United Facility/Professional Professional Modifier Low / Median / High Price $75.03 / $83.52 / $91.54	Professional		$75.03	$83.52	$91.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $77.05 / $102.84	Professional		$77.05	$77.05	$102.84