Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.94 / $145.25 / $200.72	Professional		$46.94	$145.25	$200.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $31.33 / $178.01 / $201.15	Professional		$31.33	$178.01	$201.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.23 / $165.91 / $404.86	Professional		$57.23	$165.91	$404.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $124.26 / $160.56 / $301.08	Professional		$124.26	$160.56	$301.08
United Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $160.96 / $319.26	Professional		$92.83	$160.96	$319.26
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $109.44 / $150.54 / $194.59	Professional		$109.44	$150.54	$194.59