Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.95 / $202.00 / $770.76	Facility		$39.95	$202.00	$770.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $31.96 / $31.96	Professional		$31.21	$31.96	$31.96
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $30.08 / $30.08 / $30.08	Professional		$30.08	$30.08	$30.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.96 / $31.96 / $31.96	Professional		$31.96	$31.96	$31.96
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.99 / $33.15 / $38.69	Professional		$29.99	$33.15	$38.69
United Facility/Professional Professional Modifier Low / Median / High Price $37.60 / $37.60 / $38.72	Professional		$37.60	$37.60	$38.72
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.25 / $16.25 / $16.25	Professional		$16.25	$16.25	$16.25