Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $114.82 / $501.19	Professional		$75.86	$114.82	$501.19
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $58.88	Professional		$58.88	$58.88	$58.88
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $144.54 / $204.17	Professional		$123.03	$144.54	$204.17
United Facility/Professional Facility Modifier Low / Median / High Price $144.54 / $144.54 / $144.54	Facility		$144.54	$144.54	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $70.79 / $107.15	Professional		$60.26	$70.79	$107.15