Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $39.96 / $200.84	Professional		$38.84	$39.96	$200.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.85 / $41.85 / $66.00	Professional		$40.85	$41.85	$66.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,012.19 / $1,012.19 / $1,012.19	Facility		$1,012.19	$1,012.19	$1,012.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $54.68 / $120.56	Professional		$37.36	$54.68	$120.56
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $37.88 / $50.38 / $83.24	Professional		$37.88	$50.38	$83.24
United Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $50.10 / $91.71	Professional		$34.11	$50.10	$91.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.81 / $43.56 / $54.41	Professional		$30.81	$43.56	$54.41