Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $70.79	Facility		$47.86	$47.86	$70.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $19.05	Professional		$10.96	$12.88	$19.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $12.30 / $14.13	Professional		$4.68	$12.30	$14.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.13 / $10.47 / $19.95	Facility		$8.13	$10.47	$19.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.13 / $11.75 / $53.70	Professional		$8.13	$11.75	$53.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $16.98 / $29.51	Professional		$15.14	$16.98	$29.51
United Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $6.46 / $11.75	Facility		$5.25	$6.46	$11.75
United Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $9.12 / $13.80	Professional		$6.92	$9.12	$13.80
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $15.14 / $22.91	Professional		$6.03	$15.14	$22.91