Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Facility		$121.75	$121.75	$121.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.75 / $121.75 / $121.75	Professional		$121.75	$121.75	$121.75
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $122.00 / $156.13	Professional		$122.00	$122.00	$156.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.29 / $89.29 / $89.29	Professional		$89.29	$89.29	$89.29
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $148.47 / $148.47 / $453.41	Professional		$148.47	$148.47	$453.41
United Facility/Professional Professional Modifier Low / Median / High Price $75.97 / $113.95 / $194.77	Professional		$75.97	$113.95	$194.77