Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.23 / $57.19 / $101.67	Professional		$53.23	$57.19	$101.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $70.00 / $88.91	Professional		$70.00	$70.00	$88.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $84.33 / $84.33	Facility		$84.33	$84.33	$84.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.56 / $61.56 / $84.33	Professional		$61.56	$61.56	$84.33
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.04 / $130.06 / $187.29	Professional		$91.04	$130.06	$187.29
United Facility/Professional Professional Modifier Low / Median / High Price $48.18 / $64.88 / $103.42	Professional		$48.18	$64.88	$103.42
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.27 / $68.27 / $91.04	Professional		$68.27	$68.27	$91.04