Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.98 / $28.84 / $104.71	Facility		$16.98	$28.84	$104.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $28.84 / $97.72	Professional		$15.85	$28.84	$97.72
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $42.66 / $102.33 / $102.33	Professional	50	$42.66	$102.33	$102.33
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $18.20 / $29.51 / $977.24	Professional		$18.20	$29.51	$977.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $44.67 / $75.86	Professional		$17.38	$44.67	$75.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $37.15 / $64.57	Professional		$29.51	$37.15	$64.57
United Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $549.54 / $1,548.82	Facility		$213.80	$549.54	$1,548.82
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $34.67 / $69.18	Professional		$20.42	$34.67	$69.18