Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.70 / $53.70 / $53.70	Facility		$53.70	$53.70	$53.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $77.62 / $107.15	Professional		$53.70	$77.62	$107.15
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $70.79 / $93.33	Professional		$70.79	$70.79	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $107.15 / $107.15	Facility		$107.15	$107.15	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $112.20	Professional		$77.62	$77.62	$112.20
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $190.55 / $263.03	Professional		$87.10	$190.55	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Facility		$218.78	$218.78	$218.78
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $66.07 / $123.03	Professional		$43.65	$66.07	$123.03