Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.85 / $52.75 / $967.26	Facility		$48.85	$52.75	$967.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $61.19	Professional		$52.75	$52.75	$61.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $34.25 / $34.25 / $34.25	Professional		$34.25	$34.25	$34.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.66 / $19.66 / $52.75	Facility		$19.66	$19.66	$52.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $67.18	Professional		$52.75	$52.75	$67.18
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $42.20 / $52.75 / $64.51	Professional		$42.20	$52.75	$64.51
United Facility/Professional Professional Modifier Low / Median / High Price $52.75 / $52.75 / $55.39	Professional		$52.75	$52.75	$55.39
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $48.45 / $69.09	Professional		$48.45	$48.45	$69.09