Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $64.34 / $65.22	Professional		$46.09	$64.34	$65.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $80.26 / $129.19	Professional		$70.44	$80.26	$129.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.09 / $59.10 / $112.53	Facility		$46.09	$59.10	$112.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.09 / $90.77 / $162.82	Professional		$46.09	$90.77	$162.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.96 / $108.70 / $130.44	Professional		$86.96	$108.70	$130.44
United Facility/Professional Professional Modifier Low / Median / High Price $39.13 / $51.73 / $66.09	Professional		$39.13	$51.73	$66.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $43.48 / $85.34	Professional		$33.90	$43.48	$85.34