Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $51.29	Professional		$25.12	$28.84	$51.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $27.54 / $75.86	Professional		$22.39	$27.54	$75.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $23.99 / $44.67	Facility		$21.88	$23.99	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $33.88 / $109.65	Professional		$21.38	$33.88	$109.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $38.02 / $51.29	Professional		$33.88	$38.02	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $16.22 / $28.18	Facility		$14.45	$16.22	$28.18
United Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.50 / $30.90	Professional		$15.49	$19.50	$30.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $30.90 / $51.29	Professional		$13.18	$30.90	$51.29