Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.25 / $165.80 / $1,087.70	Facility		$59.25	$165.80	$1,087.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.22 / $180.18 / $293.77	Professional		$151.22	$180.18	$293.77
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $205.13 / $205.13 / $251.18	Professional		$205.13	$205.13	$251.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $274.27 / $274.27 / $274.27	Facility		$274.27	$274.27	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $233.13 / $233.13 / $274.27	Professional		$233.13	$233.13	$274.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $257.20 / $367.44 / $529.11	Professional		$257.20	$367.44	$529.11
United Facility/Professional Professional Modifier Low / Median / High Price $157.66 / $192.48 / $290.69	Professional		$157.66	$192.48	$290.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $186.75 / $186.75 / $257.20	Professional		$186.75	$186.75	$257.20