Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.00 / $73.73 / $123.35	Professional		$37.00	$73.73	$123.35
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $43.69 / $46.83 / $53.85	Professional		$43.69	$46.83	$53.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $90.60 / $178.80	Professional		$42.19	$90.60	$178.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.30 / $134.32 / $237.25	Professional		$100.30	$134.32	$237.25
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 $69.28 / $112.15 / $217.91	Professional		$69.28	$112.15	$217.91
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $48.50 / $91.23 / $135.69	Professional		$48.50	$91.23	$135.69