Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.83 / $109.18 / $150.27	Professional		$86.83	$109.18	$150.27
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.05 / $120.06 / $146.47	Professional		$108.05	$120.06	$146.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.00 / $122.00 / $185.40	Professional		$93.00	$122.00	$185.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $79.78 / $115.19 / $163.24	Professional		$79.78	$115.19	$163.24
United Facility/Professional Professional Modifier Low / Median / High Price $90.77 / $120.30 / $189.90	Professional		$90.77	$120.30	$189.90
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $98.83 / $141.15 / $178.17	Professional		$98.83	$141.15	$178.17