Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $0.99 / $0.99 / $53.60	Facility		$0.99	$0.99	$53.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.35 / $65.31 / $145.62	Professional		$29.35	$65.31	$145.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.70 / $35.22 / $40.50	Professional		$31.70	$35.22	$40.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.45 / $78.40 / $153.94	Professional		$31.45	$78.40	$153.94
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $86.86 / $116.63 / $204.26	Professional		$86.86	$116.63	$204.26
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.26 / $97.23 / $200.98	Professional		$56.26	$97.23	$200.98
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $36.28 / $78.39 / $117.52	Professional		$36.28	$78.39	$117.52