Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.85 / $71.86 / $251.37	Facility		$47.85	$71.86	$251.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.54 / $20.54 / $20.54	Professional		$20.54	$20.54	$20.54
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $21.91 / $87.92 / $201.12	Professional		$21.91	$87.92	$201.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $44.50 / $46.28 / $99.99	Facility		$44.50	$46.28	$99.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.91 / $31.80 / $39.75	Professional		$14.91	$31.80	$39.75
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $55.68 / $55.68 / $55.68	Professional		$55.68	$55.68	$55.68
United Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $12.74 / $24.92	Professional		$11.50	$12.74	$24.92