Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.25 / $73.26 / $136.38	Professional		$62.25	$73.26	$136.38
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.24 / $117.24 / $117.24	Professional		$117.24	$117.24	$117.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $94.65 / $94.65 / $124.23	Facility		$94.65	$94.65	$124.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $80.45 / $113.35	Professional		$80.45	$80.45	$113.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.19 / $122.38 / $146.86	Professional		$95.19	$122.38	$146.86
United Facility/Professional Professional Modifier Low / Median / High Price $67.70 / $79.95 / $130.26	Professional		$67.70	$79.95	$130.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.00 / $106.00 / $115.62	Professional		$106.00	$106.00	$115.62