Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $125.89 / $275.42	Professional		$75.86	$125.89	$275.42
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $75.86 / $117.49	Professional		$63.10	$75.86	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $109.65 / $190.55	Professional		$75.86	$109.65	$190.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $131.83 / $181.97	Professional		$81.28	$131.83	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $75.86 / $112.20	Facility		$48.98	$75.86	$112.20
United Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $107.15 / $177.83	Professional		$69.18	$107.15	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $117.49 / $177.83	Professional		$85.11	$117.49	$177.83