Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $63.10	Facility		$53.70	$53.70	$63.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $67.61 / $125.89	Professional		$54.95	$67.61	$125.89
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $70.79 / $81.28	Professional		$64.57	$70.79	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $134.90	Professional		$51.29	$67.61	$134.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $67.61 / $91.20	Professional		$51.29	$67.61	$91.20
United Facility/Professional Facility Modifier Low / Median / High Price $50.12 / $67.61 / $117.49	Facility		$50.12	$67.61	$117.49
United Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $70.79 / $114.82	Professional		$52.48	$70.79	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $93.33 / $117.49	Professional		$61.66	$93.33	$117.49