Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.18 / $83.18 / $83.18	Facility		$83.18	$83.18	$83.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $83.37	Professional		$75.79	$75.79	$83.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.91 / $31.91 / $31.91	Professional		$31.91	$31.91	$31.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.79 / $75.79 / $75.79	Facility		$75.79	$75.79	$75.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $96.53	Professional		$75.79	$75.79	$96.53
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.42 / $75.79 / $1,029.51	Professional		$64.42	$75.79	$1,029.51
United Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $79.95	Professional		$75.79	$75.79	$79.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.79 / $75.79 / $99.28	Professional		$75.79	$75.79	$99.28