Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $58.10 / $105.27	Professional		$55.15	$58.10	$105.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.00 / $72.00 / $92.11	Professional		$72.00	$72.00	$92.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.43 / $73.43 / $73.43	Facility		$73.43	$73.43	$73.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.60 / $53.60 / $73.43	Professional		$53.60	$53.60	$73.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $94.33 / $134.75 / $194.04	Professional		$94.33	$134.75	$194.04
United Facility/Professional Professional Modifier Low / Median / High Price $49.13 / $67.22 / $107.15	Professional		$49.13	$67.22	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $70.40 / $70.40 / $94.33	Professional		$70.40	$70.40	$94.33