Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $81.68 / $114.06	Professional		$59.22	$81.68	$114.06
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $111.36 / $111.36 / $111.36	Professional		$111.36	$111.36	$111.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.62 / $97.62 / $133.72	Professional		$97.62	$97.62	$133.72
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $123.97 / $185.96	Professional		$86.78	$123.97	$185.96
United Facility/Professional Professional Modifier Low / Median / High Price $81.87 / $99.52 / $157.47	Professional		$81.87	$99.52	$157.47
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $86.78 / $117.31 / $117.31	Professional		$86.78	$117.31	$117.31