Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $158.49 / $173.78	Professional		$83.18	$158.49	$173.78
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $758.58 / $758.58	Professional		$758.58	$758.58	$758.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,630.27 / $2,630.27 / $2,630.27	Facility		$2,630.27	$2,630.27	$2,630.27
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $199.53 / $309.03	Professional		$173.78	$199.53	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $2,884.03 / $2,884.03 / $2,884.03	Facility		$2,884.03	$2,884.03	$2,884.03
United Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $181.97 / $316.23	Professional		$125.89	$181.97	$316.23