Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.09 / $26.09 / $26.09	Facility		$26.09	$26.09	$26.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.29	Professional		$26.94	$26.94	$28.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $11.64 / $11.64 / $11.64	Professional		$11.64	$11.64	$11.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.94 / $26.94 / $69.36	Facility		$26.94	$26.94	$69.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $34.32	Professional		$26.94	$26.94	$34.32
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $22.90 / $26.94 / $107.15	Professional		$22.90	$26.94	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $26.94 / $28.56	Professional		$26.94	$26.94	$28.56
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $30.28 / $35.29	Professional		$30.28	$30.28	$35.29