Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $241.87 / $241.87 / $4,132.24	Facility		$241.87	$241.87	$4,132.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $257.57	Professional		$245.30	$245.30	$257.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $251.26 / $251.26 / $251.26	Professional		$251.26	$251.26	$251.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.30 / $245.30 / $245.30	Facility		$245.30	$245.30	$245.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $312.41	Professional		$245.30	$245.30	$312.41
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $196.24 / $245.30 / $413.87	Professional		$196.24	$245.30	$413.87
United Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $245.30 / $258.79	Professional		$245.30	$245.30	$258.79
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $242.73 / $242.73 / $321.33	Professional		$242.73	$242.73	$321.33