Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.36 / $95.70 / $97.00	Professional		$85.36	$95.70	$97.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.42 / $90.53 / $116.96	Professional		$72.42	$90.53	$116.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $52.12 / $85.00 / $167.36	Facility		$52.12	$85.00	$167.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.12 / $82.86 / $185.85	Professional		$52.12	$82.86	$185.85
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $129.33 / $161.60 / $194.00	Professional		$129.33	$161.60	$194.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.03 / $58.20 / $84.06	Professional		$46.03	$58.20	$84.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $64.67 / $102.82	Professional		$50.44	$64.67	$102.82