Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.66 / $42.66 / $42.66	Facility		$42.66	$42.66	$42.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $50.12 / $79.43	Professional		$42.66	$50.12	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $74.13	Professional		$56.23	$56.23	$74.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.66 / $61.66 / $61.66	Facility		$61.66	$61.66	$61.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $44.67 / $63.10	Professional		$44.67	$44.67	$63.10
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $151.36 / $208.93	Professional		$69.18	$151.36	$208.93
United Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
United Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $52.48 / $97.72	Professional		$34.67	$52.48	$97.72