Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.42 / $48.42 / $48.42	Facility		$48.42	$48.42	$48.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $64.88	Professional		$49.03	$49.03	$64.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $48.42 / $48.42 / $49.04	Professional		$48.42	$48.42	$49.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $62.45	Professional		$49.03	$49.03	$62.45
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $53.77	Professional		$49.03	$49.03	$53.77
United Facility/Professional Professional Modifier Low / Median / High Price $49.03 / $49.03 / $59.74	Professional		$49.03	$49.03	$59.74
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $49.42 / $49.42 / $49.42	Professional		$49.42	$49.42	$49.42