Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $85.11 / $144.54	Professional		$67.61	$85.11	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $81.28 / $102.33	Professional		$30.20	$81.28	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $102.33 / $186.21	Professional		$41.69	$102.33	$186.21
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $100.00 / $138.04	Professional		$64.57	$100.00	$138.04
Kaiser Permanente Facility/Professional Professional Modifier 26 Low / Median / High Price $15.49 / $21.88 / $30.90	Professional	26	$15.49	$21.88	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $89.13 / $186.21	Professional		$34.67	$89.13	$186.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $107.15 / $138.04	Professional		$74.13	$107.15	$138.04