Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $72.48 / $118.19	Professional		$63.42	$72.48	$118.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $82.50 / $82.50 / $101.05	Professional		$82.50	$82.50	$101.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $98.15	Professional		$71.65	$71.65	$98.15
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.47 / $147.81 / $212.85	Professional		$103.47	$147.81	$212.85
United Facility/Professional Professional Modifier Low / Median / High Price $66.56 / $75.95 / $116.93	Professional		$66.56	$75.95	$116.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $89.37 / $103.47	Professional		$89.37	$89.37	$103.47