Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3.82 / $69.59 / $128.05	Facility		$3.82	$69.59	$128.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.48 / $6.26	Professional		$3.45	$3.48	$6.26
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.82 / $3.82	Professional		$3.45	$3.82	$3.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $85.00 / $85.00	Facility		$85.00	$85.00	$85.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.45 / $4.38	Professional		$3.45	$3.45	$4.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $2.93 / $3.45 / $7.94	Professional		$2.93	$3.45	$7.94
United Facility/Professional Professional Modifier Low / Median / High Price $3.45 / $3.86 / $6.37	Professional		$3.45	$3.86	$6.37
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $3.97 / $4.17 / $5.16	Professional		$3.97	$4.17	$5.16