Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.73 / $84.13 / $140.82	Professional		$73.73	$84.13	$140.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.00 / $97.00 / $123.14	Professional		$97.00	$97.00	$123.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $116.53 / $116.53 / $116.53	Facility		$116.53	$116.53	$116.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.07 / $85.07 / $85.07	Professional		$85.07	$85.07	$85.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $126.10 / $180.14 / $259.39	Professional		$126.10	$180.14	$259.39
United Facility/Professional Facility Modifier Low / Median / High Price $91.72 / $91.72 / $91.72	Facility		$91.72	$91.72	$91.72
United Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $89.87 / $143.25	Professional		$76.17	$89.87	$143.25
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $107.93 / $107.93 / $126.10	Professional		$107.93	$107.93	$126.10