Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.95 / $45.71 / $63.10	Facility		$19.95	$45.71	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $26.30 / $36.31	Professional		$21.88	$26.30	$36.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $23.44 / $27.54	Professional		$10.47	$23.44	$27.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $20.42 / $38.02	Facility		$15.49	$20.42	$38.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $22.91 / $104.71	Professional		$15.49	$22.91	$104.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $32.36 / $57.54	Professional		$29.51	$32.36	$57.54
United Facility/Professional Facility Modifier Low / Median / High Price $12.30 / $19.05 / $75.86	Facility		$12.30	$19.05	$75.86
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $17.78 / $35.48	Professional		$13.18	$17.78	$35.48
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $28.84 / $44.67	Professional		$11.48	$28.84	$44.67