Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $57.67 / $57.67	Professional		$57.67	$57.67	$57.67
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $104.86 / $104.86 / $104.86	Professional		$104.86	$104.86	$104.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.73 / $12.86 / $104.86	Professional		$10.73	$12.86	$104.86
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $228.00 / $258.00 / $313.00	Professional		$228.00	$258.00	$313.00
United Facility/Professional Professional Modifier Low / Median / High Price $62.92 / $62.92 / $104.14	Professional		$62.92	$62.92	$104.14