Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $524.81 / $645.65	Facility		$95.50	$524.81	$645.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $20.89 / $50.12	Professional		$20.89	$20.89	$50.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $26.92 / $26.92	Professional		$26.92	$26.92	$26.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.18	Professional		$28.18	$28.18	$28.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $21.38 / $26.30	Professional		$18.20	$21.38	$26.30
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $25.70	Professional		$21.38	$21.38	$25.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38