Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $67.61 / $67.61	Facility		$67.61	$67.61	$67.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $89.13 / $346.74	Professional		$66.07	$89.13	$346.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $104.71 / $128.82	Professional		$15.14	$104.71	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $102.33 / $169.82	Professional		$75.86	$102.33	$169.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $120.23 / $165.96	Professional		$97.72	$120.23	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $11.48 / $91.20 / $147.91	Facility		$11.48	$91.20	$147.91
United Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $97.72 / $177.83	Professional		$70.79	$97.72	$177.83
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $120.23 / $147.91	Professional		$83.18	$120.23	$147.91