Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $81.86 / $167.40	Professional		$65.90	$81.86	$167.40
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $77.05 / $88.94 / $112.95	Professional		$77.05	$88.94	$112.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.76 / $85.83 / $170.30	Professional		$63.76	$85.83	$170.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.20 / $87.99 / $147.13	Professional		$68.20	$87.99	$147.13
United Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $82.22 / $153.90	Professional		$60.03	$82.22	$153.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $58.75 / $58.75 / $98.61	Professional		$58.75	$58.75	$98.61