Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.49 / $27.49 / $158.69	Facility		$27.49	$27.49	$158.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $14.28 / $26.50	Professional		$6.76	$14.28	$26.50
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $5.95 / $6.27 / $7.96	Professional		$5.95	$6.27	$7.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.43 / $21.43 / $21.43	Professional		$21.43	$21.43	$21.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $21.13 / $29.71 / $49.88	Professional		$21.13	$29.71	$49.88
United Facility/Professional Facility Modifier Low / Median / High Price $150.00 / $150.00 / $150.00	Facility		$150.00	$150.00	$150.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.91 / $23.26 / $43.21	Professional		$16.91	$23.26	$43.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $27.01 / $27.01 / $28.59	Professional		$27.01	$27.01	$28.59