Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.98 / $94.50 / $269.77	Facility		$67.98	$94.50	$269.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $52.65 / $76.79	Professional		$37.21	$52.65	$76.79
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $63.18 / $72.03	Professional		$56.16	$63.18	$72.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $55.91 / $172.23	Professional		$38.43	$55.91	$172.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $84.24 / $105.30	Professional		$70.20	$84.24	$105.30
United Facility/Professional Professional Modifier Low / Median / High Price $30.89 / $38.61 / $63.88	Professional		$30.89	$38.61	$63.88
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $68.89 / $68.89 / $68.89	Professional		$68.89	$68.89	$68.89