Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.62 / $211.64 / $285.19	Facility		$64.62	$211.64	$285.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $64.62 / $64.62	Professional		$64.62	$64.62	$64.62
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $64.62 / $108.62 / $183.67	Professional		$64.62	$108.62	$183.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.96 / $60.96 / $64.62	Facility		$60.96	$60.96	$64.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $54.93 / $54.93 / $64.62	Professional		$54.93	$54.93	$64.62
United Facility/Professional Professional Modifier Low / Median / High Price $58.80 / $64.62 / $104.73	Professional		$58.80	$64.62	$104.73