Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.32 / $27.32 / $75.05	Facility		$27.32	$27.32	$75.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $100.57	Professional		$64.62	$64.62	$100.57
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $75.05	Professional		$64.62	$64.62	$75.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $82.30	Professional		$64.62	$64.62	$82.30
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $141.94	Professional		$64.62	$64.62	$141.94
United Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $93.21	Professional		$64.62	$64.62	$93.21
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $62.14 / $62.14 / $62.14	Professional		$62.14	$62.14	$62.14