Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.40 / $71.40 / $134.91	Facility		$71.40	$71.40	$134.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.72 / $71.40 / $91.39	Professional		$69.72	$71.40	$91.39
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $67.20 / $67.20	Professional		$67.20	$67.20	$67.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.40 / $71.40 / $71.40	Professional		$71.40	$71.40	$71.40
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $71.33 / $83.22	Professional		$64.51	$71.33	$83.22
United Facility/Professional Professional Modifier Low / Median / High Price $79.80 / $79.80 / $84.00	Professional		$79.80	$79.80	$84.00
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $218.11 / $218.11	Professional		$218.11	$218.11	$218.11