Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.66 / $38.04 / $48.66	Professional		$26.66	$38.04	$48.66
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.69 / $23.69 / $30.98	Professional		$23.69	$23.69	$30.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.69 / $21.69 / $50.00	Facility		$21.69	$21.69	$50.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.38 / $49.11 / $90.01	Professional		$28.38	$49.11	$90.01
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $58.39 / $82.08	Professional		$45.26	$58.39	$82.08
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $36.00 / $41.00	Facility		$36.00	$36.00	$41.00
United Facility/Professional Professional Modifier Low / Median / High Price $35.51 / $51.69 / $90.76	Professional		$35.51	$51.69	$90.76
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $52.05 / $64.88	Professional		$45.26	$52.05	$64.88