Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Facility		$134.88	$134.88	$134.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $134.88	Professional		$134.88	$134.88	$134.88
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $126.01 / $126.01 / $126.01	Professional		$126.01	$126.01	$126.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $127.25 / $127.25 / $134.88	Facility		$127.25	$127.25	$134.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $171.79	Professional		$134.88	$134.88	$171.79
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $114.66 / $114.66 / $155.31	Professional		$114.66	$114.66	$155.31
United Facility/Professional Professional Modifier Low / Median / High Price $134.88 / $134.88 / $218.63	Professional		$134.88	$134.88	$218.63