Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $21.88 / $30.90	Professional		$14.79	$21.88	$30.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Professional		$34.67	$34.67	$34.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $25.12 / $69.18	Facility		$10.23	$25.12	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Professional		$21.38	$21.38	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $40.74 / $53.70	Professional		$29.51	$40.74	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $1.20 / $10.00 / $19.95	Facility		$1.20	$10.00	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $19.95 / $31.62	Professional		$16.60	$19.95	$31.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $23.99	Professional		$15.85	$15.85	$23.99