Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $535.04 / $1,117.00 / $3,175.00	Facility		$535.04	$1,117.00	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.23 / $105.64 / $255.64	Professional		$54.23	$105.64	$255.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $51.49 / $56.94 / $660.00	Professional		$51.49	$56.94	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.52 / $129.57 / $270.69	Professional		$63.52	$129.57	$270.69
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $235.55 / $235.55	Professional		$106.24	$235.55	$235.55
United Facility/Professional Facility Modifier Low / Median / High Price $165.00 / $442.00 / $5,940.00	Facility		$165.00	$442.00	$5,940.00
United Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $204.34 / $331.52	Professional		$93.80	$204.34	$331.52