Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.28 / $42.28 / $258.75	Facility		$42.28	$42.28	$258.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $42.28 / $42.28	Professional		$42.28	$42.28	$42.28
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $42.28 / $132.34 / $289.62	Professional		$42.28	$132.34	$289.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $71.45 / $134.36 / $153.56	Facility		$71.45	$134.36	$153.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.57 / $48.57 / $60.71	Professional		$48.57	$48.57	$60.71
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $85.94 / $85.94 / $85.94	Professional		$85.94	$85.94	$85.94
United Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $34.24 / $38.47	Professional		$17.76	$34.24	$38.47