Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.47 / $98.93 / $153.18	Facility		$25.47	$98.93	$153.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.70 / $18.47 / $19.22	Professional		$15.70	$18.47	$19.22
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.20 / $19.60 / $31.62	Professional		$17.20	$19.60	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.25 / $14.70 / $27.48	Facility		$11.25	$14.70	$27.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.25 / $22.55 / $34.39	Professional		$11.25	$22.55	$34.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.23 / $26.54 / $31.85	Professional		$21.23	$26.54	$31.85
United Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $12.63 / $16.13	Professional		$9.55	$12.63	$16.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $10.62 / $20.84	Professional		$8.27	$10.62	$20.84