Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.90 / $47.90 / $47.90	Facility		$47.90	$47.90	$47.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.90 / $47.90 / $47.90	Professional		$47.90	$47.90	$47.90
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $71.20 / $71.20	Professional		$71.20	$71.20	$71.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.27 / $55.27 / $55.27	Professional		$55.27	$55.27	$55.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $76.08 / $76.08 / $232.34	Professional		$76.08	$76.08	$232.34
United Facility/Professional Professional Modifier Low / Median / High Price $38.93 / $58.39 / $122.82	Professional		$38.93	$58.39	$122.82