Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $54.95 / $54.95	Facility		$54.95	$54.95	$54.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $58.88 / $79.43	Professional		$54.95	$58.88	$79.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $93.33	Professional		$72.44	$72.44	$93.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Facility		$74.13	$74.13	$74.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $53.70 / $77.62	Professional		$53.70	$53.70	$77.62
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $194.98 / $269.15	Professional		$89.13	$194.98	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $67.61 / $125.89	Professional		$44.67	$67.61	$125.89