Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $202.61 / $202.61 / $1,059.61	Facility		$202.61	$202.61	$1,059.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.97 / $38.47 / $41.18	Professional		$37.97	$38.47	$41.18
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $41.05 / $46.18 / $52.65	Professional		$41.05	$46.18	$52.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.17 / $37.97 / $126.35	Professional		$28.17	$37.97	$126.35
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $61.57 / $76.97	Professional		$51.31	$61.57	$76.97
United Facility/Professional Professional Modifier Low / Median / High Price $21.55 / $27.24 / $46.69	Professional		$21.55	$27.24	$46.69
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $25.66 / $50.36 / $50.36	Professional		$25.66	$50.36	$50.36