Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $51.29 / $95.50	Professional		$38.90	$51.29	$95.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $67.61	Professional		$52.48	$52.48	$67.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $63.10 / $63.10 / $63.10	Facility		$63.10	$63.10	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $45.71 / $63.10	Professional		$45.71	$45.71	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $100.00 / $147.91	Professional		$69.18	$100.00	$147.91
United Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $43.65 / $66.07	Facility		$29.51	$43.65	$66.07
United Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $48.98 / $77.62	Professional		$39.81	$48.98	$77.62
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $83.18	Professional		$52.48	$52.48	$83.18