Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.59 / $79.45 / $109.65	Professional		$51.59	$79.45	$109.65
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.99 / $54.99 / $54.99	Professional		$54.99	$54.99	$54.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $0.09 / $0.09 / $0.09	Professional		$0.09	$0.09	$0.09
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $70.97 / $91.84 / $125.24	Professional		$70.97	$91.84	$125.24
United Facility/Professional Professional Modifier Low / Median / High Price $40.40 / $55.53 / $119.46	Professional		$40.40	$55.53	$119.46
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $16.63 / $16.63 / $42.05	Professional		$16.63	$16.63	$42.05