Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Facility		$158.91	$158.91	$158.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.91 / $158.91 / $158.91	Professional		$158.91	$158.91	$158.91
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $137.38 / $229.09 / $387.36	Professional		$137.38	$229.09	$387.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $149.91 / $149.91 / $158.91	Facility		$149.91	$149.91	$158.91
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $103.30 / $135.08 / $158.91	Professional		$103.30	$135.08	$158.91
United Facility/Professional Professional Modifier Low / Median / High Price $144.62 / $158.91 / $158.91	Professional		$144.62	$158.91	$158.91