Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.86 / $25.47 / $45.57	Professional		$23.86	$25.47	$45.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.00 / $31.00 / $39.84	Professional		$31.00	$31.00	$39.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.57 / $38.57 / $38.57	Facility		$38.57	$38.57	$38.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.16 / $28.16 / $28.16	Professional		$28.16	$28.16	$28.16
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $40.79 / $58.29 / $83.94	Professional		$40.79	$58.29	$83.94
United Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $26.89 / $43.80	Facility		$18.52	$26.89	$43.80
United Facility/Professional Professional Modifier Low / Median / High Price $25.32 / $29.08 / $46.35	Professional		$25.32	$29.08	$46.35
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.92 / $34.92 / $40.79	Professional		$34.92	$34.92	$40.79