Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.45 / $28.86 / $151.13	Professional		$25.45	$28.86	$151.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $36.00 / $40.00 / $59.60	Professional		$36.00	$40.00	$59.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.19 / $33.19 / $33.19	Facility		$33.19	$33.19	$33.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.95 / $36.36 / $71.95	Professional		$26.95	$36.36	$71.95
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.74 / $34.31 / $48.39	Professional		$26.74	$34.31	$48.39
United Facility/Professional Professional Modifier Low / Median / High Price $23.02 / $31.36 / $61.58	Professional		$23.02	$31.36	$61.58
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00