Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.43 / $93.33 / $120.23	Professional		$79.43	$93.33	$120.23
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $91.20 / $102.33	Professional		$83.18	$91.20	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $67.61	Professional		$60.26	$60.26	$67.61
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $131.83 / $169.82	Professional		$114.82	$131.83	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $47.86 / $87.10	Facility		$47.86	$47.86	$87.10
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $51.29 / $93.33	Professional		$47.86	$51.29	$93.33
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54