Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Facility		$163.00	$163.00	$163.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.00 / $163.00 / $163.00	Professional		$163.00	$163.00	$163.00
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $164.00 / $171.39 / $209.06	Professional		$164.00	$171.39	$209.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.82 / $143.82 / $143.82	Professional		$143.82	$143.82	$143.82
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $198.78 / $198.78 / $607.07	Professional		$198.78	$198.78	$607.07
United Facility/Professional Professional Modifier Low / Median / High Price $101.71 / $152.57 / $260.77	Professional		$101.71	$152.57	$260.77