Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $25.70 / $58.88	Professional		$20.89	$25.70	$58.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $22.91 / $31.62	Professional		$20.42	$22.91	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $37.15 / $37.15 / $37.15	Facility		$37.15	$37.15	$37.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.84 / $51.29	Professional		$22.39	$28.84	$51.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $38.02	Professional		$20.42	$27.54	$38.02
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $21.88 / $26.30	Facility		$13.49	$21.88	$26.30
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $28.18 / $47.86	Professional		$19.95	$28.18	$47.86
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $33.11 / $38.02	Professional		$26.30	$33.11	$38.02