Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.86 / $82.86 / $82.86	Facility		$82.86	$82.86	$82.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $119.32	Professional		$81.90	$81.90	$119.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $82.86 / $82.86	Professional		$81.90	$82.86	$82.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.34 / $79.34 / $85.98	Facility		$79.34	$79.34	$85.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $81.90 / $96.58	Professional		$81.90	$81.90	$96.58
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.62 / $81.90 / $93.95	Professional		$69.62	$81.90	$93.95
United Facility/Professional Professional Modifier Low / Median / High Price $81.90 / $91.17 / $98.46	Professional		$81.90	$91.17	$98.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $79.34 / $79.34 / $111.86	Professional		$79.34	$79.34	$111.86