Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Facility		$41.69	$41.69	$41.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $34.67 / $208.93	Professional		$26.92	$34.67	$208.93
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $38.90 / $38.90	Professional		$38.90	$38.90	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $30.90 / $72.44	Professional		$30.90	$30.90	$72.44
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $66.07 / $114.82	Professional		$57.54	$66.07	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $30.20 / $30.20	Facility		$30.20	$30.20	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $30.20 / $50.12	Professional		$19.95	$30.20	$50.12