Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $79.64 / $447.10	Professional		$76.48	$79.64	$447.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $92.35 / $117.00	Professional		$92.35	$92.35	$117.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $167.12 / $167.12 / $167.12	Facility		$167.12	$167.12	$167.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $118.62 / $200.63	Professional		$71.70	$118.62	$200.63
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $109.49 / $179.77	Professional		$82.32	$109.49	$179.77
United Facility/Professional Professional Modifier Low / Median / High Price $78.76 / $103.37 / $169.54	Professional		$78.76	$103.37	$169.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $82.32 / $94.67 / $118.20	Professional		$82.32	$94.67	$118.20