Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $10.96 / $14.13	Professional		$10.96	$10.96	$14.13
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $9.33 / $9.33	Professional		$9.33	$9.33	$9.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.75 / $11.75 / $30.90	Facility		$11.75	$11.75	$30.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $11.75 / $13.49	Professional		$11.75	$11.75	$13.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $138.04 / $194.98	Professional		$28.84	$138.04	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Facility		$13.49	$13.49	$13.49
United Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $30.90 / $125.89	Professional		$12.02	$30.90	$125.89
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $158.49 / $204.17	Professional		$12.02	$158.49	$204.17