Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $70.09 / $75.68	Professional		$44.62	$70.09	$75.68
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $69.14 / $69.14 / $140.52	Professional		$69.14	$69.14	$140.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $23.45 / $33.38 / $70.65	Facility		$23.45	$33.38	$70.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $75.79 / $129.43	Professional		$38.02	$75.79	$129.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $92.53 / $138.80	Professional		$71.20	$92.53	$138.80
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $54.05 / $127.70	Professional		$26.86	$54.05	$127.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.53 / $106.46 / $118.29	Professional		$92.53	$106.46	$118.29