Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.76 / $117.76 / $117.76	Facility		$117.76	$117.76	$117.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.76 / $117.76 / $117.76	Professional		$117.76	$117.76	$117.76
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $154.00 / $196.69	Professional		$154.00	$154.00	$196.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $164.47 / $164.47 / $164.47	Professional		$164.47	$164.47	$164.47
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $187.02 / $187.02 / $571.15	Professional		$187.02	$187.02	$571.15
United Facility/Professional Facility Modifier Low / Median / High Price $460.37 / $460.37 / $460.37	Facility		$460.37	$460.37	$460.37
United Facility/Professional Professional Modifier Low / Median / High Price $95.70 / $143.54 / $268.72	Professional		$95.70	$143.54	$268.72