Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.48 / $61.17 / $105.23	Professional		$59.48	$61.17	$105.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $80.00 / $102.17	Professional		$80.00	$80.00	$102.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.09 / $75.09 / $75.09	Facility		$75.09	$75.09	$75.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.82 / $54.82 / $75.09	Professional		$54.82	$54.82	$75.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $104.62 / $149.46 / $215.22	Professional		$104.62	$149.46	$215.22
United Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $74.56 / $118.85	Professional		$50.81	$74.56	$118.85
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $104.62	Professional		$72.00	$72.00	$104.62