Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $169.82	Professional		$44.67	$72.44	$169.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $60.26 / $74.13	Professional		$53.70	$60.26	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $81.28 / $165.96	Professional		$50.12	$81.28	$165.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $114.82 / $165.96	Professional		$100.00	$114.82	$165.96
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $72.44 / $138.04	Professional		$44.67	$72.44	$138.04
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $117.49 / $144.54	Professional		$61.66	$117.49	$144.54