Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.24 / $691.61 / $3,175.00	Facility		$239.24	$691.61	$3,175.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.68 / $157.13 / $300.64	Professional		$102.68	$157.13	$300.64
CareFirst Facility/Professional Professional Modifier Low / Median / High Price $131.00 / $131.00 / $660.00	Professional		$131.00	$131.00	$660.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.09 / $149.05 / $373.38	Professional		$97.09	$149.05	$373.38
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $147.15 / $326.39 / $326.39	Professional		$147.15	$326.39	$326.39
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 $133.88 / $173.33 / $411.94	Professional		$133.88	$173.33	$411.94