Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $89.54 / $119.90	Professional		$69.14	$89.54	$119.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $65.02 / $67.25 / $77.00	Professional		$65.02	$67.25	$77.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $50.00 / $54.66	Facility		$50.00	$50.00	$54.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.50 / $116.15 / $225.63	Professional		$73.50	$116.15	$225.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.57 / $147.80 / $194.46	Professional		$114.57	$147.80	$194.46
United Facility/Professional Facility Modifier Low / Median / High Price $36.00 / $41.00 / $102.03	Facility		$36.00	$41.00	$102.03
United Facility/Professional Professional Modifier Low / Median / High Price $81.52 / $117.23 / $205.88	Professional		$81.52	$117.23	$205.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $94.02 / $131.76 / $161.91	Professional		$94.02	$131.76	$161.91