Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $44.59 / $59.12	Professional		$17.32	$44.59	$59.12
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.84 / $55.10 / $55.10	Professional		$22.84	$55.10	$55.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.00 / $180.25 / $180.25	Facility		$72.00	$180.25	$180.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.63 / $55.72 / $114.34	Professional		$27.63	$55.72	$114.34
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $70.00 / $96.57	Professional		$56.00	$70.00	$96.57
United Facility/Professional Professional Modifier Low / Median / High Price $21.37 / $49.00 / $65.61	Professional		$21.37	$49.00	$65.61
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $22.86 / $51.50 / $92.07	Professional		$22.86	$51.50	$92.07