Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $28.84 / $100.00	Facility		$12.02	$28.84	$100.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $12.88 / $72.44	Professional		$12.02	$12.88	$72.44
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $40.74 / $181.97	Professional		$22.91	$40.74	$181.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $27.54 / $63.10	Facility		$26.30	$27.54	$63.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $19.05 / $23.99	Professional		$8.91	$19.05	$23.99
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $31.62 / $33.11	Professional		$31.62	$31.62	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $19.50 / $19.50 / $19.50	Facility		$19.50	$19.50	$19.50
United Facility/Professional Professional Modifier Low / Median / High Price $5.01 / $9.77 / $14.79	Professional		$5.01	$9.77	$14.79