Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.90 / $37.92 / $118.66	Facility		$22.90	$37.92	$118.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.35 / $40.86 / $200.00	Professional		$30.35	$40.86	$200.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $40.00 / $50.69	Professional		$40.00	$40.00	$50.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $41.32	Professional		$33.36	$33.36	$41.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.91 / $74.16 / $106.79	Professional		$51.91	$74.16	$106.79
United Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $37.00 / $58.97	Professional		$28.69	$37.00	$58.97
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.50 / $39.57 / $51.91	Professional		$34.50	$39.57	$51.91