Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.09 / $32.89 / $39.31	Professional		$29.09	$32.89	$39.31
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $43.24 / $81.06	Professional		$39.31	$43.24	$81.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $20.83 / $27.93 / $113.50	Professional		$20.83	$27.93	$113.50
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $47.17 / $58.97	Professional		$39.31	$47.17	$58.97
United Facility/Professional Facility Modifier Low / Median / High Price $16.51 / $16.51 / $16.51	Facility		$16.51	$16.51	$16.51
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $18.07 / $35.77	Professional		$16.51	$18.07	$35.77
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $19.66 / $31.25 / $31.25	Professional		$19.66	$31.25	$31.25