Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.92 / $82.81 / $115.56	Facility		$69.92	$82.81	$115.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $24.25 / $27.85	Professional		$20.00	$24.25	$27.85
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.59 / $26.22 / $35.65	Professional		$23.59	$26.22	$35.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.73 / $21.54 / $42.40	Facility		$15.73	$21.54	$42.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.95 / $31.15 / $46.98	Professional		$14.95	$31.15	$46.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $32.77 / $40.96 / $49.16	Professional		$32.77	$40.96	$49.16
United Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $14.75 / $22.07	Professional		$13.76	$14.75	$22.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $26.05 / $26.05	Professional		$13.11	$26.05	$26.05