Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Facility		$163.24	$163.24	$163.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $187.72	Professional		$163.24	$163.24	$187.72
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $163.24 / $163.24 / $163.24	Professional		$163.24	$163.24	$163.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.39 / $179.39 / $179.39	Professional		$179.39	$179.39	$179.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $113.33 / $131.58 / $169.99	Professional		$113.33	$131.58	$169.99
United Facility/Professional Professional Modifier Low / Median / High Price $163.33 / $192.05 / $192.05	Professional		$163.33	$192.05	$192.05