Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.49 / $101.49 / $101.49	Facility		$101.49	$101.49	$101.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $136.00	Professional		$102.94	$102.94	$136.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $153.60 / $153.60 / $153.60	Professional		$153.60	$153.60	$153.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $131.10	Professional		$102.94	$102.94	$131.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $172.80	Professional		$102.94	$102.94	$172.80
United Facility/Professional Professional Modifier Low / Median / High Price $102.94 / $102.94 / $109.12	Professional		$102.94	$102.94	$109.12
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $112.95 / $112.95	Professional		$112.95	$112.95	$112.95