Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $144.54 / $7,413.10	Facility		$120.23	$144.54	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $204.17	Professional		$120.23	$120.23	$204.17
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Professional		$120.23	$120.23	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $120.23 / $147.91	Professional		$120.23	$120.23	$147.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $120.23 / $354.81	Professional		$102.33	$120.23	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $120.23 / $120.23	Facility		$120.23	$120.23	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $131.83 / $144.54	Professional		$27.54	$131.83	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $138.04	Professional		$138.04	$138.04	$138.04