Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $102.33 / $144.54	Professional		$77.62	$102.33	$144.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Professional		$61.66	$61.66	$61.66
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $169.82 / $234.42	Professional		$147.91	$169.82	$234.42
United Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $104.71 / $154.88	Facility		$104.71	$104.71	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $75.86 / $114.82	Professional		$64.57	$75.86	$114.82
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $52.48 / $93.33	Professional		$52.48	$52.48	$93.33