Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $92.11 / $141.44	Facility		$26.28	$92.11	$141.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.72 / $25.57 / $32.29	Professional		$21.72	$25.57	$32.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $26.42 / $30.71 / $49.42	Professional		$26.42	$30.71	$49.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $20.30 / $37.97	Facility		$15.56	$20.30	$37.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $33.86 / $149.03	Professional		$15.56	$33.86	$149.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $36.69 / $44.03	Professional		$29.35	$36.69	$44.03
United Facility/Professional Professional Modifier Low / Median / High Price $13.21 / $17.61 / $26.71	Professional		$13.21	$17.61	$26.71
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $11.45 / $14.68 / $28.80	Professional		$11.45	$14.68	$28.80