Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.34 / $83.97 / $159.18	Professional		$83.34	$83.97	$159.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $109.00 / $109.00 / $139.19	Professional		$109.00	$109.00	$139.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $124.31 / $124.31 / $124.31	Facility		$124.31	$124.31	$124.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.75 / $90.75 / $90.75	Professional		$90.75	$90.75	$90.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $203.62 / $293.20	Professional		$142.53	$203.62	$293.20
United Facility/Professional Professional Modifier Low / Median / High Price $80.36 / $101.59 / $161.93	Professional		$80.36	$101.59	$161.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $115.14 / $115.14 / $142.53	Professional		$115.14	$115.14	$142.53