Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $215.20 / $382.20 / $392.43	Professional		$215.20	$382.20	$392.43
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $257.73 / $257.73 / $283.50	Professional		$257.73	$257.73	$283.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $641.21 / $1,335.00 / $1,490.90	Facility		$641.21	$1,335.00	$1,490.90
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $320.23 / $421.35 / $642.91	Professional		$320.23	$421.35	$642.91
United Facility/Professional Facility Modifier Low / Median / High Price $643.00 / $643.00 / $1,185.00	Facility		$643.00	$643.00	$1,185.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.67 / $306.98 / $586.45	Professional		$205.67	$306.98	$586.45