Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $45.17 / $68.29	Professional		$31.32	$45.17	$68.29
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $125.00 / $125.00	Professional		$125.00	$125.00	$125.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $54.28	Professional		$49.99	$49.99	$54.28
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $46.04 / $76.40	Professional		$31.37	$46.04	$76.40
United Facility/Professional Professional Modifier Low / Median / High Price $53.75 / $70.34 / $119.13	Professional		$53.75	$70.34	$119.13
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $66.06 / $74.33 / $82.59	Professional		$66.06	$74.33	$82.59