Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $32.02 / $57.28	Professional		$29.99	$32.02	$57.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.90 / $40.90 / $50.09	Professional		$40.90	$40.90	$50.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $41.91 / $41.91	Facility		$41.91	$41.91	$41.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $30.59 / $30.59	Professional		$30.59	$30.59	$30.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $73.27 / $105.51	Professional		$51.29	$73.27	$105.51
United Facility/Professional Professional Modifier Low / Median / High Price $30.38 / $36.56 / $58.28	Professional		$30.38	$36.56	$58.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.64 / $40.18 / $51.29	Professional		$31.64	$40.18	$51.29