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 $61.24 / $86.10 / $173.03	Professional		$61.24	$86.10	$173.03
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $54.21 / $61.05 / $221.98	Professional		$54.21	$61.05	$221.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $110.80 / $256.02	Professional		$63.48	$110.80	$256.02
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $125.48 / $237.79	Professional		$96.96	$125.48	$237.79
United Facility/Professional Professional Modifier Low / Median / High Price $70.68 / $128.77 / $246.22	Professional		$70.68	$128.77	$246.22