Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $118.36 / $119.96	Professional		$105.57	$118.36	$119.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $127.96 / $174.03	Professional		$115.16	$127.96	$174.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $84.77 / $84.77	Facility		$84.77	$84.77	$84.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.77 / $183.79 / $229.73	Professional		$84.77	$183.79	$229.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $159.94 / $199.94 / $239.93	Professional		$159.94	$199.94	$239.93
United Facility/Professional Facility Modifier Low / Median / High Price $75.98 / $75.98 / $75.98	Facility		$75.98	$75.98	$75.98
United Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $79.98 / $145.55	Professional		$67.18	$79.98	$145.55
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.40 / $9.64 / $12.06	Professional		$9.40	$9.64	$12.06