Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.66 / $108.98 / $209.43	Professional		$73.66	$108.98	$209.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $77.77 / $106.74	Professional		$53.37	$77.77	$106.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.95 / $117.95 / $117.95	Facility		$117.95	$117.95	$117.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.41 / $128.72 / $208.03	Professional		$81.41	$128.72	$208.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.01 / $144.22 / $203.60	Professional		$104.01	$144.22	$203.60
United Facility/Professional Professional Modifier Low / Median / High Price $96.85 / $127.65 / $217.68	Professional		$96.85	$127.65	$217.68
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.86 / $116.33 / $174.50	Professional		$89.86	$116.33	$174.50