Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $91.20 / $120.23	Professional		$70.79	$91.20	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $112.20 / $112.20 / $165.96	Facility		$112.20	$112.20	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $95.50 / $128.82	Professional		$95.50	$95.50	$128.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $154.88 / $177.83	Professional		$114.82	$154.88	$177.83
United Facility/Professional Facility Modifier Low / Median / High Price $6.76 / $58.88 / $104.71	Facility		$6.76	$58.88	$104.71
United Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $95.50 / $151.36	Professional		$74.13	$95.50	$151.36
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $134.90	Professional		$114.82	$114.82	$134.90