Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.05 / $76.83 / $115.25	Professional		$60.05	$76.83	$115.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.00 / $80.78 / $98.53	Professional		$77.00	$80.78	$98.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.07 / $90.07 / $90.07	Facility		$90.07	$90.07	$90.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.75 / $65.75 / $90.07	Professional		$65.75	$65.75	$90.07
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $144.13 / $207.56	Professional		$100.90	$144.13	$207.56
United Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $71.91 / $112.63	Professional		$64.93	$71.91	$112.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $87.22 / $87.22 / $100.90	Professional		$87.22	$87.22	$100.90