Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $56.23 / $81.28	Professional		$43.65	$56.23	$81.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $54.95 / $64.57	Professional		$48.98	$54.95	$64.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $44.67 / $120.23	Professional		$33.88	$44.67	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $83.18 / $102.33	Professional		$69.18	$83.18	$102.33
United Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $28.84 / $52.48	Facility		$28.84	$28.84	$52.48
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.90 / $54.95	Professional		$25.12	$30.90	$54.95
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $54.95 / $54.95	Professional		$34.67	$54.95	$54.95