Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $67.61 / $112.20	Professional		$56.23	$67.61	$112.20
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $85.11	Professional		$64.57	$64.57	$85.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Facility		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $64.57 / $89.13	Professional		$64.57	$64.57	$89.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $123.03 / $186.21	Professional		$87.10	$123.03	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $91.20 / $93.33	Facility		$79.43	$91.20	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $63.10 / $95.50	Professional		$54.95	$63.10	$95.50
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $104.71	Professional		$74.13	$74.13	$104.71