Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.42 / $56.64 / $230.00	Professional		$47.42	$56.64	$230.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $55.29 / $63.02 / $80.04	Professional		$55.29	$63.02	$80.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $81.14 / $163.59	Professional		$50.42	$81.14	$163.59
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $67.04 / $112.39	Professional		$51.97	$67.04	$112.39
United Facility/Professional Professional Modifier Low / Median / High Price $48.73 / $63.65 / $113.46	Professional		$48.73	$63.65	$113.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $47.12 / $73.91	Professional		$47.12	$47.12	$73.91