Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $65.27 / $66.15	Professional		$49.68	$65.27	$66.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $63.50 / $70.56 / $89.61	Professional		$63.50	$70.56	$89.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $62.77 / $254.43	Professional		$47.83	$62.77	$254.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $105.84 / $132.30	Professional		$88.20	$105.84	$132.30
United Facility/Professional Professional Modifier Low / Median / High Price $37.04 / $40.57 / $67.03	Professional		$37.04	$40.57	$67.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $44.10 / $44.10	Professional		$44.10	$44.10	$44.10