Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $176.32 / $176.32 / $176.32	Facility		$176.32	$176.32	$176.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $47.97 / $76.93	Professional		$45.00	$47.97	$76.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.17 / $51.17 / $65.50	Professional		$51.17	$51.17	$65.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.29 / $45.35 / $184.44	Professional		$22.29	$45.35	$184.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $63.96 / $76.75 / $95.94	Professional		$63.96	$76.75	$95.94
United Facility/Professional Professional Modifier Low / Median / High Price $26.86 / $28.78 / $56.28	Professional		$26.86	$28.78	$56.28
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $31.98 / $31.98 / $31.98	Professional		$31.98	$31.98	$31.98