Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.12 / $206.12 / $1,681.96	Facility		$206.12	$206.12	$1,681.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $206.12 / $206.12 / $214.37	Professional		$206.12	$206.12	$214.37
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $219.86 / $252.84 / $252.84	Professional		$219.86	$252.84	$252.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $446.60 / $464.46 / $998.71	Facility		$446.60	$464.46	$998.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $319.10 / $319.10 / $350.70	Professional		$319.10	$319.10	$350.70
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $316.05 / $558.65 / $558.65	Professional		$316.05	$558.65	$558.65
United Facility/Professional Facility Modifier Low / Median / High Price $329.80 / $329.80 / $329.80	Facility		$329.80	$329.80	$329.80
United Facility/Professional Professional Modifier Low / Median / High Price $115.43 / $164.90 / $436.98	Professional		$115.43	$164.90	$436.98