Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.53 / $59.53 / $96.55	Facility		$59.53	$59.53	$96.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $59.54 / $60.35	Professional		$32.24	$59.54	$60.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $50.69 / $64.20	Professional		$7.94	$50.69	$64.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.76 / $11.06 / $104.13	Facility		$5.76	$11.06	$104.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.84 / $11.15 / $98.54	Professional		$5.84	$11.15	$98.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.44 / $96.55 / $120.69	Professional		$76.44	$96.55	$120.69
United Facility/Professional Professional Modifier Low / Median / High Price $5.12 / $36.21 / $49.24	Professional		$5.12	$36.21	$49.24
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.38 / $40.22 / $63.97	Professional		$31.38	$40.22	$63.97