Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.15 / $87.16 / $137.81	Professional		$72.15	$87.16	$137.81
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $95.00 / $120.50	Professional		$95.00	$95.00	$120.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.15 / $110.15 / $110.15	Facility		$110.15	$110.15	$110.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.41 / $80.41 / $110.15	Professional		$80.41	$80.41	$110.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.39 / $176.27 / $253.83	Professional		$123.39	$176.27	$253.83
United Facility/Professional Professional Modifier Low / Median / High Price $79.40 / $87.94 / $140.18	Professional		$79.40	$87.94	$140.18
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $105.60 / $123.39	Professional		$105.60	$105.60	$123.39