Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Facility		$104.30	$104.30	$104.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.30 / $104.30 / $104.30	Professional		$104.30	$104.30	$104.30
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Professional		$108.39	$108.39	$108.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $108.39 / $108.39 / $108.39	Facility		$108.39	$108.39	$108.39
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $65.06 / $65.06 / $65.06	Professional		$65.06	$65.06	$65.06
United Facility/Professional Professional Modifier Low / Median / High Price $111.66 / $122.70 / $198.87	Professional		$111.66	$122.70	$198.87