Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.14 / $12.14 / $12.14	Facility		$12.14	$12.14	$12.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $136.44 / $275.00	Professional		$109.53	$136.44	$275.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $149.40 / $149.40 / $182.95	Professional		$149.40	$149.40	$182.95
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $140.00	Facility		$135.00	$135.00	$140.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $98.55 / $206.12	Professional		$98.55	$98.55	$206.12
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.33 / $267.62 / $385.37	Professional		$187.33	$267.62	$385.37
United Facility/Professional Professional Modifier Low / Median / High Price $110.44 / $133.51 / $212.82	Professional		$110.44	$133.51	$212.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $40.50 / $146.74 / $187.33	Professional		$40.50	$146.74	$187.33