Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Facility		$82.70	$82.70	$82.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.70 / $82.70 / $82.70	Professional		$82.70	$82.70	$82.70
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $108.00 / $108.00 / $138.12	Professional		$108.00	$108.00	$138.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.43 / $99.43 / $99.43	Professional		$99.43	$99.43	$99.43
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $131.34 / $131.34 / $401.09	Professional		$131.34	$131.34	$401.09
United Facility/Professional Professional Modifier Low / Median / High Price $67.20 / $100.80 / $212.03	Professional		$67.20	$100.80	$212.03