Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Facility		$43.32	$43.32	$43.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.32 / $43.32 / $43.32	Professional		$43.32	$43.32	$43.32
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $57.00 / $57.00 / $72.34	Professional		$57.00	$57.00	$72.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.98 / $49.98 / $49.98	Professional		$49.98	$49.98	$49.98
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $68.80 / $210.10	Professional		$68.80	$68.80	$210.10
United Facility/Professional Facility Modifier Low / Median / High Price $169.34 / $169.34 / $169.34	Facility		$169.34	$169.34	$169.34
United Facility/Professional Professional Modifier Low / Median / High Price $35.20 / $52.80 / $79.33	Professional		$35.20	$52.80	$79.33