Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.88 / $60.26 / $173.78	Professional		$21.88	$60.26	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $26.30 / $28.84	Professional		$23.99	$26.30	$28.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $57.54 / $120.23	Professional		$23.99	$57.54	$120.23
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $95.50	Professional		$45.71	$70.79	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $57.54 / $123.03	Professional		$20.89	$57.54	$123.03
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $75.86 / $93.33	Professional		$61.66	$75.86	$93.33