Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.43 / $91.43 / $99.97	Professional		$91.43	$91.43	$99.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $134.10 / $152.87	Professional		$121.91	$134.10	$152.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $71.79 / $88.05	Professional		$71.79	$71.79	$88.05
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $121.91 / $146.29 / $232.60	Professional		$121.91	$146.29	$232.60
United Facility/Professional Facility Modifier Low / Median / High Price $51.20 / $51.20 / $51.20	Facility		$51.20	$51.20	$51.20
United Facility/Professional Professional Modifier Low / Median / High Price $51.20 / $67.05 / $109.72	Professional		$51.20	$67.05	$109.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.96 / $60.96 / $60.96	Professional		$60.96	$60.96	$60.96