Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.54 / $101.03 / $1,075.20	Facility		$98.54	$101.03	$1,075.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $117.20	Professional		$101.03	$101.03	$117.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $114.24 / $114.24 / $114.24	Professional		$114.24	$114.24	$114.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $101.03 / $101.03 / $101.03	Facility		$101.03	$101.03	$101.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $128.66	Professional		$101.03	$101.03	$128.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.88 / $101.03 / $227.46	Professional		$85.88	$101.03	$227.46
United Facility/Professional Professional Modifier Low / Median / High Price $101.03 / $101.03 / $107.09	Professional		$101.03	$101.03	$107.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $105.69 / $132.35	Professional		$105.69	$105.69	$132.35