Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $142.00 / $416.36	Professional		$20.00	$142.00	$416.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $91.28 / $104.33	Professional		$70.73	$91.28	$104.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.84 / $89.84 / $89.84	Facility		$89.84	$89.84	$89.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $153.34 / $335.44	Professional		$79.09	$153.34	$335.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $152.97 / $197.34 / $342.45	Professional		$152.97	$197.34	$342.45
United Facility/Professional Professional Modifier Low / Median / High Price $123.98 / $164.10 / $280.13	Professional		$123.98	$164.10	$280.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $175.93 / $217.74	Professional		$113.63	$175.93	$217.74