Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.50 / $112.50 / $112.50	Professional		$97.50	$112.50	$112.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $120.00 / $135.00 / $153.90	Professional		$120.00	$135.00	$153.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $79.50 / $79.50 / $87.75	Professional		$79.50	$79.50	$87.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $150.00 / $180.00 / $225.00	Professional		$150.00	$180.00	$225.00
United Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $67.50 / $135.00	Professional		$63.00	$67.50	$135.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00