Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.68 / $86.69 / $126.90	Professional		$73.68	$86.69	$126.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $131.91 / $131.91	Professional		$131.91	$131.91	$131.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.50 / $123.50 / $123.50	Facility		$123.50	$123.50	$123.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.98 / $104.98 / $123.50	Professional		$104.98	$104.98	$123.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.47 / $136.38 / $181.40	Professional		$95.47	$136.38	$181.40
United Facility/Professional Professional Modifier Low / Median / High Price $78.36 / $105.68 / $177.63	Professional		$78.36	$105.68	$177.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $78.62 / $78.62 / $115.93	Professional		$78.62	$78.62	$115.93