Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $76.09 / $135.57	Professional		$55.45	$76.09	$135.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $73.00 / $73.00 / $92.62	Professional		$73.00	$73.00	$92.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $86.88 / $86.88	Facility		$81.70	$86.88	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $86.88	Professional		$63.42	$63.42	$86.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.84 / $135.49 / $195.11	Professional		$94.84	$135.49	$195.11
United Facility/Professional Professional Modifier Low / Median / High Price $61.03 / $67.59 / $107.74	Professional		$61.03	$67.59	$107.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $81.17 / $100.75	Professional		$75.00	$81.17	$100.75