Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.53 / $84.53 / $84.53	Facility		$84.53	$84.53	$84.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $104.54	Professional		$84.57	$84.57	$104.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.52 / $84.52 / $84.57	Professional		$84.52	$84.52	$84.57
Cigna Facility/Professional Facility Modifier Low / Median / High Price $117.63 / $117.63 / $117.63	Facility		$117.63	$117.63	$117.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $84.57 / $99.73	Professional		$84.57	$84.57	$99.73
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $71.88 / $84.57 / $88.80	Professional		$71.88	$84.57	$88.80
United Facility/Professional Professional Modifier Low / Median / High Price $84.57 / $94.14 / $102.33	Professional		$84.57	$94.14	$102.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $97.26 / $117.45 / $117.45	Professional		$97.26	$117.45	$117.45