Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $54.73 / $54.73	Facility		$54.73	$54.73	$54.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.80 / $59.44 / $133.13	Professional		$50.80	$59.44	$133.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $50.66 / $65.39 / $74.73	Professional		$50.66	$65.39	$74.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $55.51 / $55.51 / $55.51	Facility		$55.51	$55.51	$55.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.91 / $61.36 / $123.78	Professional		$43.91	$61.36	$123.78
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.73 / $74.61 / $104.28	Professional		$54.73	$74.61	$104.28
United Facility/Professional Professional Modifier Low / Median / High Price $38.84 / $57.38 / $121.75	Professional		$38.84	$57.38	$121.75
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $41.04 / $69.44 / $90.60	Professional		$41.04	$69.44	$90.60