Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $89.13 / $173.78	Professional		$53.70	$89.13	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $60.26 / $72.44	Professional		$46.77	$60.26	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $93.33 / $186.21	Professional		$54.95	$93.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $109.65 / $165.96	Professional		$81.28	$109.65	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $83.18 / $144.54	Professional		$50.12	$83.18	$144.54
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $123.03 / $138.04	Professional		$66.07	$123.03	$138.04