Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $53.70 / $141.25	Professional		$40.74	$53.70	$141.25
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $56.23 / $67.61	Professional		$51.29	$56.23	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $123.03	Professional		$47.86	$69.18	$123.03
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $52.48 / $89.13	Professional		$47.86	$52.48	$89.13
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 $43.65 / $61.66 / $107.15	Professional		$43.65	$61.66	$107.15
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $58.88 / $69.18	Professional		$51.29	$58.88	$69.18