Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.19 / $103.89 / $134.47	Professional		$92.19	$103.89	$134.47
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $84.90 / $94.34 / $108.49	Professional		$84.90	$94.34	$108.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.18 / $121.45 / $213.59	Professional		$88.18	$121.45	$213.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $127.59 / $150.21 / $259.77	Professional		$127.59	$150.21	$259.77
United Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $126.06 / $224.09	Professional		$100.76	$126.06	$224.09
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $102.03 / $102.23 / $146.99	Professional		$102.03	$102.23	$146.99