Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.62 / $77.62 / $77.62	Facility		$77.62	$77.62	$77.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $173.78	Professional		$64.57	$87.10	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $85.11 / $97.72	Professional		$16.22	$85.11	$97.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $128.82	Facility		$54.95	$54.95	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $77.62 / $177.83	Professional		$52.48	$77.62	$177.83
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $95.50 / $134.90	Professional		$81.28	$95.50	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $27.54 / $70.79	Facility		$11.75	$27.54	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $81.28 / $147.91	Professional		$45.71	$81.28	$147.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $100.00 / $138.04	Professional		$56.23	$100.00	$138.04