Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $30.90 / $114.82	Professional		$22.91	$30.90	$114.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $26.30 / $35.48	Professional		$23.44	$26.30	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $50.12	Facility		$41.69	$41.69	$50.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $45.71 / $79.43	Professional		$26.30	$45.71	$79.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $28.84 / $51.29	Professional		$24.55	$28.84	$51.29
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $38.90 / $44.67	Facility		$21.38	$38.90	$44.67
United Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $38.90 / $61.66	Professional		$24.55	$38.90	$61.66
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $33.11 / $38.02	Professional		$25.12	$33.11	$38.02