Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $22.76 / $79.08	Facility		$15.30	$22.76	$79.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $21.67	Professional		$15.30	$15.30	$21.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $16.93	Professional		$15.30	$15.30	$16.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $19.48	Professional		$15.30	$15.30	$19.48
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $33.01	Professional		$15.30	$15.30	$33.01
United Facility/Professional Professional Modifier Low / Median / High Price $15.30 / $15.30 / $22.07	Professional		$15.30	$15.30	$22.07
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $12.31 / $12.31 / $12.31	Professional		$12.31	$12.31	$12.31