Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $32.36 / $54.95	Professional		$25.12	$32.36	$54.95
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $32.36 / $42.66	Professional		$32.36	$32.36	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.67 / $34.67 / $34.67	Facility		$34.67	$34.67	$34.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $25.70 / $34.67	Professional		$25.70	$25.70	$34.67
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $93.33	Professional		$43.65	$63.10	$93.33
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $27.54 / $42.66	Facility		$19.05	$27.54	$42.66
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $30.90 / $48.98	Professional		$25.70	$30.90	$48.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $33.88 / $52.48	Professional		$33.88	$33.88	$52.48