Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.69 / $36.64 / $99.43	Professional		$27.69	$36.64	$99.43
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $14.47 / $16.82 / $18.57	Professional	52	$14.47	$16.82	$18.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $40.71 / $42.75 / $47.63	Professional		$40.71	$42.75	$47.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $38.44 / $65.62	Professional		$24.05	$38.44	$65.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $35.63 / $48.21 / $67.52	Professional		$35.63	$48.21	$67.52
United Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $27.30 / $49.64	Professional		$16.67	$27.30	$49.64
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $46.26 / $53.22 / $59.13	Professional		$46.26	$53.22	$59.13