Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.00 / $128.00 / $128.00	Facility		$128.00	$128.00	$128.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.61 / $78.54 / $157.05	Professional		$52.61	$78.54	$157.05
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.59 / $55.70 / $201.88	Professional		$54.59	$55.70	$201.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.61 / $103.95 / $242.49	Professional		$56.61	$103.95	$242.49
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $91.22 / $118.05 / $224.47	Professional		$91.22	$118.05	$224.47
United Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $98.96 / $232.84	Professional		$61.95	$98.96	$232.84