Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.59 / $84.29 / $170.11	Professional		$39.59	$84.29	$170.11
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.50 / $38.50 / $45.50	Professional		$38.50	$38.50	$45.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.84 / $76.05 / $134.13	Professional		$34.84	$76.05	$134.13
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $95.16 / $115.20 / $162.84	Professional		$95.16	$115.20	$162.84
United Facility/Professional Professional Modifier Low / Median / High Price $58.67 / $81.45 / $160.63	Professional		$58.67	$81.45	$160.63
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $44.94 / $75.89 / $108.56	Professional		$44.94	$75.89	$108.56