Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $116.02 / $199.18 / $199.18	Facility		$116.02	$199.18	$199.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.85 / $24.73 / $27.80	Professional		$20.85	$24.73	$27.80
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.52 / $25.67 / $41.48	Professional		$22.52	$25.67	$41.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.73 / $19.23 / $35.97	Facility		$14.73	$19.23	$35.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.73 / $29.54 / $45.28	Professional		$14.73	$29.54	$45.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $27.80 / $34.75 / $41.70	Professional		$27.80	$34.75	$41.70
United Facility/Professional Professional Modifier Low / Median / High Price $12.51 / $16.68 / $25.20	Professional		$12.51	$16.68	$25.20
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $13.90 / $27.29	Professional		$10.84	$13.90	$27.29