Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.02 / $90.32 / $109.95	Professional		$70.02	$90.32	$109.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $79.14 / $92.52 / $120.64	Professional		$79.14	$92.52	$120.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.65 / $40.78 / $335.55	Facility		$34.65	$40.78	$335.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $82.77 / $179.03	Professional		$64.11	$82.77	$179.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $99.59 / $129.90	Professional		$82.27	$99.59	$129.90
United Facility/Professional Facility Modifier Low / Median / High Price $89.00 / $89.00 / $89.00	Facility		$89.00	$89.00	$89.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.08 / $77.13 / $144.97	Professional		$62.08	$77.13	$144.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $76.91 / $99.59	Professional		$69.45	$76.91	$99.59