Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $67.61 / $97.72	Facility		$21.38	$67.61	$97.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $19.05 / $35.48	Professional		$15.85	$19.05	$35.48
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $19.05 / $22.39	Professional		$6.31	$19.05	$22.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $15.85 / $30.90	Facility		$12.02	$15.85	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.80 / $63.10	Professional		$12.02	$13.80	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $37.15	Professional		$23.99	$26.30	$37.15
United Facility/Professional Facility Modifier Low / Median / High Price $10.00 / $11.48 / $18.20	Facility		$10.00	$11.48	$18.20
United Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $11.48 / $21.88	Professional		$10.72	$11.48	$21.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $19.05 / $36.31	Professional		$9.33	$19.05	$36.31