Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.81 / $65.91 / $121.36	Professional		$65.81	$65.91	$121.36
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $86.00 / $110.08	Professional		$86.00	$86.00	$110.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.65 / $89.65 / $89.65	Facility		$89.65	$89.65	$89.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $65.44 / $89.65	Professional		$65.44	$65.44	$89.65
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $112.72 / $161.03 / $231.88	Professional		$112.72	$161.03	$231.88
United Facility/Professional Professional Modifier Low / Median / High Price $58.60 / $80.33 / $128.06	Professional		$58.60	$80.33	$128.06
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.03 / $83.03 / $112.72	Professional		$83.03	$83.03	$112.72