Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.61 / $78.17 / $124.84	Professional		$65.61	$78.17	$124.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $89.34 / $108.97	Professional		$85.00	$89.34	$108.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $99.32 / $99.32 / $99.32	Facility		$99.32	$99.32	$99.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $72.50 / $99.32	Professional		$72.50	$72.50	$99.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.59 / $159.41 / $229.55	Professional		$111.59	$159.41	$229.55
United Facility/Professional Professional Modifier Low / Median / High Price $71.81 / $79.53 / $124.57	Professional		$71.81	$79.53	$124.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $92.91 / $92.91 / $111.59	Professional		$92.91	$92.91	$111.59