Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $158.49 / $338.84	Professional		$104.71	$158.49	$338.84
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $93.33 / $331.13	Professional		$85.11	$93.33	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $147.91 / $338.84	Professional		$95.50	$147.91	$338.84
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $173.78 / $218.78	Professional		$147.91	$173.78	$218.78
United Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $120.23	Facility		$93.33	$93.33	$120.23
United Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $141.25 / $275.42	Professional		$93.33	$141.25	$275.42