Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.83 / $156.97 / $197.01	Facility		$99.83	$156.97	$197.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.97 / $156.97 / $156.97	Professional		$156.97	$156.97	$156.97
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $113.68 / $113.68 / $113.68	Professional		$113.68	$113.68	$113.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $172.37 / $172.37 / $172.37	Facility		$172.37	$172.37	$172.37
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $111.07 / $111.07	Professional		$111.07	$111.07	$111.07
United Facility/Professional Professional Modifier Low / Median / High Price $149.63 / $153.90 / $200.32	Professional		$149.63	$153.90	$200.32