Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $100.00 / $128.82	Professional		$48.98	$100.00	$128.82
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $57.54 / $57.54	Professional		$57.54	$57.54	$57.54
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $128.82 / $181.97	Professional		$109.65	$128.82	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
United Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $63.10 / $85.11	Professional		$44.67	$63.10	$85.11