Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.30 / $4,963.24 / $4,963.24	Facility		$30.30	$4,963.24	$4,963.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $56.23	Professional		$30.23	$30.23	$56.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $35.52 / $35.52 / $35.52	Professional		$35.52	$35.52	$35.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $30.23 / $30.23 / $46.25	Facility		$30.23	$30.23	$46.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.23 / $30.23 / $38.50	Professional		$30.23	$30.23	$38.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.23 / $48.69	Professional		$25.70	$30.23	$48.69
United Facility/Professional Professional Modifier Low / Median / High Price $30.21 / $30.23 / $31.89	Professional		$30.21	$30.23	$31.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.48 / $30.48 / $39.60	Professional		$30.48	$30.48	$39.60