Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.89 / $12.89 / $729.58	Facility		$12.89	$12.89	$729.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $12.89 / $17.94	Professional		$12.89	$12.89	$17.94
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $17.00 / $17.00	Professional		$17.00	$17.00	$17.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.19 / $16.19 / $16.19	Professional		$16.19	$16.19	$16.19
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $20.48 / $62.53	Professional		$20.48	$20.48	$62.53
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $15.71 / $23.61	Professional		$10.48	$15.71	$23.61