Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $95.74 / $111.65	Professional		$92.03	$95.74	$111.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.32 / $111.32 / $183.68	Professional		$111.32	$111.32	$183.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.16 / $109.16 / $109.16	Facility		$109.16	$109.16	$109.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $86.90	Professional		$86.90	$86.90	$86.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $116.84 / $159.78	Professional		$90.29	$116.84	$159.78
United Facility/Professional Professional Modifier Low / Median / High Price $72.23 / $97.56 / $159.30	Professional		$72.23	$97.56	$159.30
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $106.22 / $129.11 / $143.46	Professional		$106.22	$129.11	$143.46