Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $34.67 / $69.18	Professional		$28.18	$34.67	$69.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $52.48	Professional		$39.81	$39.81	$52.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $40.74 / $40.74	Facility		$40.74	$40.74	$40.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $29.51 / $40.74	Professional		$29.51	$29.51	$40.74
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $75.86 / $114.82	Professional		$53.70	$75.86	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $20.89 / $30.90 / $46.77	Facility		$20.89	$30.90	$46.77
United Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $37.15 / $58.88	Professional		$28.18	$37.15	$58.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $37.15 / $63.10	Professional		$37.15	$37.15	$63.10