Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $54.95 / $102.33	Professional		$42.66	$54.95	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $61.66	Professional		$44.67	$44.67	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $107.15 / $162.18	Professional		$75.86	$107.15	$162.18
United Facility/Professional Facility Modifier Low / Median / High Price $30.90 / $47.86 / $74.13	Facility		$30.90	$47.86	$74.13
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $52.48 / $83.18	Professional		$44.67	$52.48	$83.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $89.13	Professional		$58.88	$58.88	$89.13