Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.88 / $109.65 / $141.25	Facility		$12.88	$109.65	$141.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $12.88 / $48.98	Professional		$3.98	$12.88	$48.98
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $91.20 / $199.53	Professional		$51.29	$91.20	$199.53
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $30.20 / $69.18	Facility		$29.51	$30.20	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $20.42 / $25.70	Professional		$10.00	$20.42	$25.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $34.67 / $36.31	Professional		$34.67	$34.67	$36.31
United Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38
United Facility/Professional Professional Modifier Low / Median / High Price $7.59 / $11.48 / $30.90	Professional		$7.59	$11.48	$30.90