Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $104.71 / $316.23	Professional		$77.62	$104.71	$316.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $104.71 / $120.23	Professional		$93.33	$104.71	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $120.23 / $213.80	Professional		$87.10	$120.23	$213.80
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $144.54 / $257.04	Professional		$114.82	$144.54	$257.04
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $117.49 / $218.78	Professional		$83.18	$117.49	$218.78
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $199.53	Professional		$85.11	$128.82	$199.53