Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.29 / $16.32 / $29.20	Professional		$15.29	$16.32	$29.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $20.00 / $25.54	Professional		$20.00	$20.00	$25.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $15.61 / $21.38	Professional		$15.61	$15.61	$21.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $26.15 / $37.36 / $53.80	Professional		$26.15	$37.36	$53.80
United Facility/Professional Professional Modifier Low / Median / High Price $16.71 / $18.64 / $29.70	Professional		$16.71	$18.64	$29.70
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $20.49 / $20.49 / $26.15	Professional		$20.49	$20.49	$26.15