Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $84.92 / $311.00	Professional		$64.75	$84.92	$311.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $30.63 / $34.61 / $57.74	Professional	52	$30.63	$34.61	$57.74
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $97.49 / $97.49 / $137.46	Professional		$97.49	$97.49	$137.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.70 / $108.03 / $230.87	Professional		$71.70	$108.03	$230.87
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $86.18 / $124.99	Professional		$68.23	$86.18	$124.99
United Facility/Professional Professional Modifier Low / Median / High Price $61.98 / $87.74 / $133.93	Professional		$61.98	$87.74	$133.93
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $60.46 / $86.55 / $107.73	Professional		$60.46	$86.55	$107.73