Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.30 / $61.87 / $200.17	Facility		$43.30	$61.87	$200.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.20 / $45.42 / $46.10	Professional		$37.20	$45.42	$46.10
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $46.95 / $76.16	Professional		$41.20	$46.95	$76.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.96 / $35.21 / $65.81	Facility		$26.96	$35.21	$65.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.96 / $54.02 / $82.72	Professional		$26.96	$54.02	$82.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $50.86 / $63.58 / $76.29	Professional		$50.86	$63.58	$76.29
United Facility/Professional Professional Modifier Low / Median / High Price $21.36 / $30.25 / $42.94	Professional		$21.36	$30.25	$42.94
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.84 / $25.43 / $49.91	Professional		$19.84	$25.43	$49.91