Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $82.98 / $148.47	Professional		$77.73	$82.98	$148.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $106.03 / $129.84	Professional		$106.03	$106.03	$129.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.63 / $129.63 / $129.63	Facility		$129.63	$129.63	$129.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.64 / $94.64 / $94.64	Professional		$94.64	$94.64	$94.64
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $189.93 / $273.50	Professional		$132.94	$189.93	$273.50
United Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $94.75 / $151.03	Professional		$85.55	$94.75	$151.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.99 / $104.15 / $132.94	Professional		$57.99	$104.15	$132.94